Registration & Eligibility Officer

Elevatus; Riyadh; Presencial; SAR 60.000 - 90.000; Jornada completa

Descripción de la vacante

Elevation Healthcare (Elevatus) is seeking a Registration & Eligibility Officer in Riyadh to manage front-line patient registration, verify eligibility, and schedule appointments. The role emphasizes accurate data entry, seamless patient flow, and compliance with payer requirements in a busy hospital setting.

The ideal candidate has 2–3 years in healthcare administration, with a Bachelor's in healthcare administration and fluency in English and Arabic.

Formación

• Bachelor's degree in healthcare administration or similar field.
• Minimum 2–3 years of healthcare administration and admissions experience.
• Excellent command of English and Arabic.

Responsabilidades

• Register patients accurately in the HIS with complete demographic and insurance data.
• Schedule, reschedule, or cancel appointments as per physician availability and policy.
• Validate insurance eligibility and approvals per payer and CHI/NPHIES requirements.
• Ensure documents are valid and scanned into the patient record.
• Maintain SCFHS license numbers and validity in records.
• Handle inquiries regarding appointments, eligibility, or billing.

Conocimientos

Leadership

Communication

Team management

Organizational skills

Multi-tasking

Data accuracy

MS Office

HIS/NPHIES

Insurance workflows

Problem-solving

Educación

Bachelor's degree in healthcare administration

Herramientas

HIS/NPHIES

Microsoft Office

Descripción del empleo

Registration & Eligibility Officer Full Time

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

Summary

Experience Required: 2 year(s) minimum

Required Skills

strong understanding of medical insurance, eligibility, and billing workflows strong leadership, communication, and team management skills excellent organizational and multitasking abilities for simultaneous admissions problem-solving and decision-making skills focused on patient-centered care high attention to detail and data accuracy proficient in microsoft office and hospital information systems (his/nphies) ability to work under pressure while maintaining accuracy and quality

Languages

AR - Full Professional Proficiency en - Full Professional Proficiency