Registration & Eligibility Officer

Registration & Eligibility Officer – Ensuring Seamless Patient Care and Operational Excellence

At Fakeeh Care, we are dedicated to delivering exceptional healthcare experiences while maintaining the highest standards of accuracy, compliance, and patient satisfaction. We are seeking a dynamic and detail-oriented Registration & Eligibility Officer to play a pivotal role in our frontline operations. This position is essential for ensuring smooth patient registration, eligibility verification, and appointment coordination—key components in delivering a seamless healthcare journey from admission to discharge.

In this critical role, you will serve as the first point of contact for patients, ensuring that every interaction reflects our commitment to precision, professionalism, and compassion. Your responsibilities will span across registration, eligibility validation, appointment management, and financial processing, all while upholding the strictest standards of confidentiality and compliance. This is an opportunity to contribute directly to the efficiency of our healthcare delivery system while fostering a positive experience for patients and their families.

Key Responsibilities:

As the Registration & Eligibility Officer, your duties will include:

• Accurate Patient Registration: Ensure seamless and error-free registration of patients in our Hospital Information System (HIS), verifying all demographic, insurance, and clinical details with meticulous attention to accuracy.
• Appointment Coordination: Manage the entire appointment lifecycle—scheduling, rescheduling, and cancellations—while aligning with physician availability and departmental protocols to optimize patient flow.
• Eligibility and Insurance Verification: Validate insurance coverage, approvals, and documentation in compliance with payer requirements and internal policies, including those of CHI/NPHIES, to prevent claim denials and ensure smooth service delivery.
• Documentation and Compliance: Verify and scan all essential patient documents, such as insurance cards, identification, and pre-approvals, into the electronic health record, ensuring complete and up-to-date records.
• Healthcare Practitioner Management: Maintain current and accurate records of healthcare practitioners, including Saudi Commission for Health Specialties (SCFHS) license details, to support regulatory compliance.
• Patient Communication and Support: Address patient inquiries with clarity and empathy, providing guidance on appointments, eligibility requirements, and billing processes to enhance satisfaction and trust.
• Cross-Team Collaboration: Work closely with clinical, billing, and administrative teams to resolve discrepancies in patient data, ensuring consistency and accuracy across all systems.
• Financial Processing: Handle cash and card transactions with precision, maintaining detailed documentation and reconciling daily financial logs to support transparency and accountability.
• Compliance and Safety: Adhere to Fakeeh Care’s stringent confidentiality, safety, and compliance protocols in all interactions, safeguarding patient privacy and institutional integrity.
• Continuous Improvement: Actively participate in training sessions to stay updated on the latest registration systems, eligibility processes, and healthcare industry best practices.
• Other Responsibilities: Perform additional duties as assigned to support the operational efficiency of the registration and admissions department.

Why Join Us?

This role offers a unique opportunity to make a tangible impact on patient care while growing professionally in a dynamic healthcare environment. At Fakeeh Care, we value teamwork, innovation, and a patient-centered approach. If you are passionate about healthcare administration, thrive in fast-paced settings, and are committed to delivering exceptional service, we invite you to be part of our team.

Qualifications:

To excel in this position, you will bring:

• Leadership and Communication Skills: Proven ability to lead with empathy, communicate effectively, and manage teams with clarity and professionalism.
• Organizational Excellence: Exceptional multitasking and time-management skills to handle simultaneous admissions, discharges, and inquiries with precision.
• Attention to Detail: A keen eye for accuracy, ensuring that every registration, eligibility check, and financial transaction meets the highest standards.
• Technical Proficiency: Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and experience with Hospital Information Systems (HIS/NPHIES) or similar platforms.
• Healthcare Knowledge: A strong understanding of medical insurance workflows, eligibility verification, and billing processes to navigate complex payer requirements seamlessly.
• Problem-Solving Abilities: A proactive mindset with a focus on resolving challenges in a patient-centered manner, ensuring smooth operations and positive outcomes.
• Experience: Minimum of 2-3 years of experience in healthcare administration, patient registration, or admissions, with a track record of delivering high-quality service in fast-paced environments.
• Education: Bachelor’s degree in healthcare administration, business administration, or a related field. Additional certifications in healthcare registration or eligibility verification are a plus.
• Language Proficiency: Fluent command of both oral and written English and Arabic, enabling effective communication with diverse stakeholders, including patients, healthcare providers, and administrative teams.

Join Fakeeh Care and be a part of a team that prioritizes excellence, innovation, and compassion in healthcare delivery. Your expertise will be instrumental in shaping a patient experience that is both seamless and exceptional.