Ayushman Executive

3 weeks ago


Sikandar Agra Uttar Pradesh, India UJALA CYGNUS RAINBOW HOSPITAL, AGRA Full time

The Ayushman Executive plays a pivotal role in facilitating the implementation and management of the Ayushman Bharat scheme within the hospital. They are responsible for coordinating with various stakeholders, ensuring compliance with scheme guidelines, and optimizing the utilization of benefits for eligible beneficiaries.

**Responsibilities**:

- **Scheme Coordination**:

- Serve as the primary liaison between the hospital and Ayushman Bharat authorities, including State Health Agencies (SHAs) and Ayushman Bharat Health and Wellness Centers (AB-HWCs).
- Coordinate with internal departments to ensure alignment with scheme requirements and protocols.
- **Beneficiary Enrollment and Verification**:

- Facilitate the enrollment of eligible beneficiaries into the Ayushman Bharat scheme, including verification of eligibility criteria and documentation.
- Educate patients and their families about the benefits, coverage, and procedures under the scheme.
- **Claims Management**:

- Process and submit claims for reimbursement under the Ayushman Bharat scheme in adherence to prescribed guidelines and timelines.
- Collaborate with billing and finance departments to ensure accurate documentation and billing practices for Ayushman Bharat beneficiaries.
- **Quality Assurance**:

- Monitor the quality of healthcare services provided to Ayushman Bharat beneficiaries, ensuring compliance with scheme standards and protocols.
- Implement measures to enhance patient satisfaction and outcomes within the scope of the scheme.
- **Data Management and Reporting**:

- Maintain comprehensive records of Ayushman Bharat beneficiaries, claims, and utilization patterns for reporting and analysis purposes.
- Generate periodic reports on scheme performance, utilization trends, and outcomes for internal and external stakeholders.
- **Stakeholder Engagement**:

- Collaborate with government agencies, insurance companies, and healthcare providers to promote awareness of the Ayushman Bharat scheme and facilitate seamless integration into healthcare delivery systems.
- Participate in meetings, workshops, and training sessions related to Ayushman Bharat implementation and updates.

Pay: ₹10,000.00 - ₹16,000.00 per month

Schedule:

- Day shift
- Fixed shift
- Rotational shift

**Experience**:

- 2YEARS: 1 year (preferred)

Work Location: In person