Registration & Eligibility Officer

Supports the patient journey by ensuring that registration details, appointment information and insurance eligibility are correctly recorded. The Registration and Eligibility Officer checks identity and payer information, coordinates required approvals and keeps electronic records current while working with reception, clinical, billing and insurance teams.

Key Responsibilities

• Register new and returning patients in the hospital information system and verify demographic details.
• Check insurance membership, eligibility, coverage and required approvals.
• Arrange and update appointments with accurate patient, provider, date and service information.
• Scan and upload identity documents, insurance cards and pre-admission papers.
• Follow up on missing approvals or documentation with patients, insurers and internal departments.
• Support updates to provider licence information where included in assigned processes.
• Respond to patient enquiries and protect personal, clinical and financial information.

Requirements and Qualifications

A background in healthcare administration, customer service, insurance coordination or front-office operations is suitable. The role requires accurate data entry, confidence using electronic systems and knowledge of registration and eligibility checks. Familiarity with payer approvals and local systems such as CHI or NPHIES is beneficial.

Skills and Competencies

• Patient registration
• insurance eligibility
• appointment scheduling
• HIS data entry
• document verification
• payer approvals
• customer service
• confidentiality

Role Expectations

Details should be checked before registration or booking because errors can affect billing and access to care. Unclear coverage or identity information must be referred for confirmation. Accurate notes and timely handovers reduce repeat enquiries and make the process easier for patients and staff.

The employee should maintain professional standards, follow workplace and information-handling procedures, and cooperate with colleagues to meet service priorities. Tasks should be completed within the approved scope of the position, with questions or exceptions referred to the responsible manager. Dependable attendance, clear communication and a willingness to learn support consistent performance.