Monthly staff scheduling done in accordance with hospital operational needs keeping in mind UAE Labour Law and MCME policies
Duty rosters updated/changed as needed
Duty Rota is prepared and staff allocation to various shifts is done as per operational needs
Staff training identified and arranged
Assist and give input during performance management process Overtime is planned and authorized
New staff orientated within 3 months of appointment
Staff counseled when needed
Policies and procedures are available, deployed and observed
Prepare cost estimates and coordinate in-patient and high cost out-patient pre authorization process
Pre-authorization disputes between Doctors and Insurance Companies
addressed and managed as per MCME guidelines
Expert advice provided to internal and external clients on various insurance policies and coverage
Random screening of invoices for accuracy of discounts/legibility/non- covered services/accurate approvals are attached (where applicable) Up to date on changes in insurance policies and protocols
Insurance training provided to staff as needed
Approvals related issues escalated to Insurance Manager
Act as a source of information on insurance matters to patients Patient queries on insurance matters attended to and resolved
Prepare data analysis reports related to particular department or insurance companies.
A Filing system is in place for all relevant documentation
Patient files are retrieved and returned as per standard procedure
Client expectations are met, and quality client service principles are maintained
Client complaints are resolved
Participation in Quality Improvement projects is demonstrated Patient information confidentiality is maintained
MCME values are demonstrated in behavior
Competence is demonstrated in all performance output areas
Definition: Demonstrate technical proficiency and comprehends its impact upon work-unit responsibility.
Demonstrates technical proficiency in areas of work-unit responsibility Identify and prevent risks in the credit environment
The ability to use a computer to accurately complete required tasks at an acceptable speed. Display solid knowledge of, and consistently acts according to Patient
Administration Systems, Policies and Procedures
Accuracy and Attention to Detail
Definition: The ability to consistently follow processes and complete tasks while being alert and thorough in order to maintain high standards of preciseness and correctness in work output.
Follows instructions through standard work-orders for assigned tasks Performs routine or repetitious tasks completely and accurately Checks and re-checks work prior to, during, and after completion Compares finished work to what is expected
Seeks approval of supervisor based upon complexity of task completed
Uses appropriate record keeping methods
Ensures all work meets and/or exceeds applicable codes and standards
Planning and Organising
Definition: Execute a clear course of action, involving others as appropriate, co-ordinate activities and monitoring results to accomplish a specific goal.
Develop own work plans to complete assigned tasks, meet established objectives and/or milestones within a prescribed time frame
Clarify/Identify activities required, the estimated times and schedule these
Identify and allocate appropriate resources (e.g. facilities, tools, time, people) to successfully complete tasks
Distinguishes between urgent, important or critical when assessing current opportunities and/or problems and re-prioritise accordingly
Successfully handles several activities at the same time Reviews/monitor progress and follow up where appropriate
Problem Solving and Decision Making
Definition: Defining a problem, selecting the best solution according pre-defined criteria and developing a plan of action to ensure the implementation and evaluation of the solution.
Define the problem and analyse potential causes Identify possible solutions
Reporting problems/incidences as per policy/procedure Select the best solution using pre-defined criteria Develop and implement an action plan, evaluate progress Define the problem and analyse potential causes
Identify possible solutions
Select the best solution using pre-defined criteria Develop and implement an action plan, evaluate progress
Definition: Guides and supports others in accomplishing work objectives to optimise operational efficiency
Explains and demonstrates how to perform a task
When necessary, works with individual to practice the new task/technique to achieve a reasonable skill level
Observes and evaluates task performance Provides both affirming and constructive feedback
Determines degree and direction of support an individual requires
Definition: Demonstrating an awareness of the key elementary rules and factors that play a role in running a business
Understands the basic functioning of an organisation and the department / functional unit Understands how task execution contributes to the functioning of the department / functional unit Understands the interrelationships and impacts of various work-unit processes and systems and appropriately applies that understanding to advance the achievement of work-unit or organisation objectives
Definition: Adapts and maintains a customer-focus mindset that acknowledges the importance and value of the customer, and acts accordingly
Reflect the image of the company.
Regard everyone who is dependent on our outputs as our client.
Makes sure that client needs or requirements are met by integrating them into work-unit operations and outputs.
Makes sure client requirements or expectations are met through the effective use of communication or feedback systems.
Regularly and consistently takes actions to improve the quality of services or products produced by the work unit.
Respect our clients’ right to confidentiality. Personally accept responsibility for client service.
Definition: Engages in the effective use of self-assessment and self management techniques in order to proactively and continuously improve own performance.
Demonstrates self motivation and energy & determination in the work environment Stays focused in the face of challenging circumstances & performance obstacles Monitors own performance on a regular basis
Seeks feedback on performance to identify strengths and weaknesses
Changes behaviour where needed as a result of feedback
Takes an active role to identify and meet own learning and development needs Asks questions to obtain information
Initiates appropriate action without being directed to do so. Learns from own mistakes and those of others
Effectively handles and responds appropriately to stressful situations, interruptions and interactions Manages own time effectively and efficiently.
Definition: Understands, supports and promotes the worth of individual and group differences for the benefit of individual employees, the organisation and the community as a whole.
Understands and promotes the inclusion and acceptance of diversity in the workplace Takes initiative to gain an appreciation of various cultures
Takes initiative to understand diversity issues
Identifies inappropriate behaviour in the workplace