Overview
The Medical Receptionist is responsible for providing efficient front-desk operations, ensuring a professional and welcoming experience for all patients and visitors. This role involves managing appointments, patient registration, insurance verification through CCHI and approvals through NPHIES platforms, and maintaining accurate and confidential medical records in compliance with Saudi healthcare regulations and organizational policies.
Responsibilities
Patient Services & Front Desk Operations
- Greet patients and visitors in a professional and courteous manner.
- Register new patients and update existing patient information accurately.
- Manage appointment scheduling, rescheduling, and cancellations efficiently.
- Maintain patient confidentiality and ensure compliance with MOH and CBAHI standards.
- Provide general information about clinic services and procedures.
Administrative & System Management
Operate and maintain Electronic Medical Records (EMR) systems accurately.Handle telephone calls, emails, and internal communications professionally.Ensure that patient data is updated, organized, and backed up as per policy.Support other administrative tasks as directed by the supervisor or management.Customer Care & Coordination
Provide a compassionate and supportive environment for patients.Coordinate with nurses, physicians, and other departments to ensure smooth patient flow.Handle patient concerns and escalate issues when necessary.Maintain front office cleanliness and presentation standards.Insurance & Billing (Eligibility Check & Approvals)
Verify patient insurance eligibility and policy status through CCHI (Council of Cooperative Health Insurance)Ensure accurate and complete entry of patient demographic and insurance information into the system in compliance with CCHI and NPHIES requirements.Obtain and document pre-authorization and approvals for consultations, procedures, and investigations as per insurance policy guidelines.Communicate clearly with patients regarding coverage limits, co-payments, exclusions, and non-covered services prior to service delivery.Coordinate with insurance coordinators to ensure all claims are supported with valid documentation.Review rejected or pending approvals, update missing information, and assist in resubmission or correction processes.Ensure compliance with MOH, CCHI, and CBAHI standards in all insurance-related activities.Handle patient inquiries regarding insurance coverage, billing, and payment discrepancies in a professional manner.Saudi Nationals only
Skills
Proficiency in CCHI and NPHIES platforms.Excellent communication skills in Arabic and English (Mandatory)Strong organizational, multitasking, and problem-solving skills.Accuracy in data entry and record management.Competence in using MS Office and Clinic management software (EMR).#J-18808-Ljbffr