Admission/Authorisation Clerk at Avenue Healthcare

Admission/Authorisation Clerk at Avenue Healthcare – Avenue Healthcare Kenya Job Details

Job Objective/ Purpose:

Manage the patient admission process by helping patients check in, filing their medical information with the hospital and all pre-admission related tasks, while ensuring they are accorded timely, professional and compassionate service.

Key Responsibilities:

• Welcoming and assisting patients with Registration, confirming pre-admission information; obtaining consents and insurance forms;
• Pre-admits patients by receiving bookings from physicians, pre- paid accounts, insurance and direct accounts. Confirming admitting privileges of physicians; Verify patient identity, interviewing patients; entering patient information to pre-admissions database.
• Have sufficient knowledge or access to knowledge to provide correct information with regard to estimated surgical and admission fees, excesses or co-payments on individual policies or individual procedures.
• Provide patients with relevant information by explaining hospital admission policies, patient rights, room selection, cover Benefits and any other related inquiries, including hospital regulations, such as visiting hours, payment of accounts, and schedule of charges.
• Ensure client satisfaction through quality of service, communication, feedback, escalation and caring attitude, and demonstrate follow-up.
• Secure payments by screening insurance information; identifying patients requiring pre-admission approvals from third-party payers, verifying approvals; notifying accounts department of self-paying admissions. Ensure the LOUs are received prior to admission for insurance patients and deposits for cash payments are made.
• Prepare admission folders by gathering admission paperwork for scheduled patients, arrange for patient placements, bed assignments and patient transfer activities.
• Ensure that Avenue Healthcare corporate governance policies are adhered to, including preventing, detecting, and reporting any fraud or criminal activities, and Implementing audit recommendations.
• Ensure adequate knowledge of, and compliance to all Avenue Healthcare policies, procedures, and systems, especially policies pertaining to the provision of medical services and finance.
• Effectively manage patient data and records.
• Any other duty as assigned by the supervisor.

Person Specification

• Diploma/ Degree in Business Administration or its equivalent.
• 2+ years’ experience in a similar role, preferably in a Hospital set-up
• Customer focus and results oriented
• Strong interpersonal skills, team playing abilities, and communication skills.
• Highly responsive, ethical and responsible