Registration & Eligibility Officer

Description

Job Purpose:

To perform and support all front-line registration, eligibility verification, and appointment scheduling activities accurately and efficiently. The role ensures smooth patient flow, compliance with payer requirements, and delivery of a positive patient experience through timely and precise data entry, coordination, and communication.

Key Responsibilities And Duties

Register patients accurately in the hospital information system (HIS), ensuring all demographic and insurance data are complete and verified.

Schedule, reschedule, or cancel appointments according to physician availability and departmental policy.

Validate insurance eligibility and approvals prior to service delivery in alignment with payer and CHI/NPHIES requirements.

Ensure all required documents (e.g., insurance cards, ID, pre-approvals) are valid, current, and scanned into the patient record.

Maintain updated healthcare practitioner information, including Saudi Commission for Health Specialties (SCFHS) license numbers and validity.

Handle patient inquiries and provide clear communication regarding appointments, eligibility, or billing requirements.

Coordinate with clinical and billing teams to address incomplete or inaccurate patient data.

Process cash and card payments, ensuring proper documentation and reconciliation at the end of each shift.

Generate and review daily transaction summaries, ensuring consistency between HIS data and financial logs.

Uphold Fakeeh Care's confidentiality, safety, and compliance standards in all interactions.

Participate actively in continuous improvement, attending periodic training sessions on patient registration systems and eligibility processes.

Other duties as assigned within the scope of the job.

Requirements

Skills And Abilities

Strong leadership, communication, and team management skills.

Excellent organizational and multitasking abilities to manage simultaneous admissions and discharges.

Ability to work under pressure while maintaining accuracy and service quality.

High attention to detail and data accuracy.

Proficient in Microsoft Office (Excel, Word, PowerPoint) and Hospital Information Systems (HIS/NPHIES).

Strong understanding of medical insurance, eligibility, and billing workflows.

Problem-solving and decision-making skills with a focus on patient-centered care.

Experience

Minimum of 2-3 years of experience in healthcare administration and admissions.

Education

Bachelor's degree in healthcare administration or similar field.

Language

Excellent command of oral and written English and Arabic.

Licenses / Certifications

N/A