The Private Patient & PMI Co-ordinator is responsible for managing the end-to-end private patient journey, from initial enquiry and insurance liaison through to scheduling, billing and discharge, ensuring an exceptional and seamless experience throughout.
This is a demanding, varied role requiring excellent communication, administration and problem-solving skills, alongside a strong working knowledge of private healthcare processes and major insurance providers including BUPA, AXA Health, WPA, Vitality, Aviva and Cigna.
Key Responsibilities
- Serve as the first point of contact for all private patient enquiries.
- Ensure a professional and welcoming service, providing information on treatments, pricing, and logistics.
- Schedule appointments, admissions, procedures, and follow-ups in collaboration with consultants and clinical teams.
- Guide patients through the pre-admission process and provide support post-discharge.
- Respond to patient concerns promptly, ensuring a high level of discretion and empathy.
- Manage all aspects of the insured patient pathway including policy verification, validation of pre-authorisations, and excess management.
- Liaise directly with insurers (e.g. BUPA, AXA, Vitality, WPA, Aviva, Cigna) to confirm coverage and facilitate claims.
- Support the finance team, ensuring accurate coding has been recorded and in line with insurer requirements.
- Prepare quotations for self-pay and insured patients.
- Liaise with the theatre booking team to facilitate the coordination of theatre slots and consultant clinics with internal teams.
- Contribute to audits, patient feedback initiatives, and service improvement planning.
- Ensure all interactions are documented and that all relevant parties are kept informed.
The above duties and responsibilities are not an exhaustive list and may be reviewed/ amended to meet the business needs
Qualifications:
- Experience with EMIS, Docman, SystemOne, or similar electronic patient systems.
- NVQ Level 2 in Health and Social Care or relevant customer service qualification.
- Knowledge of medical terminology and clinical coding.
- Previous experience in healthcare administration, ideally in a private setting.
- Strong understanding of private medical insurance processes and billing.
- Confident working with major UK insurance providers.
- Excellent written and verbal communication skills.
- Proficiency in Microsoft Office and healthcare systems.
- Exceptional attention to detail, organisation, and multitasking ability.