Receptionist/ Echs
5 days ago
The Ayushman Executive will be responsible for the overall coordination execution and compliance of the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana PM-JAY scheme and ECHS Ex-Servicemen Contributory Health Scheme within the hospital The role involves managing patient enrollments ensuring proper documentation and approvals handling claim processing and liaising with government portals and authorities to ensure smooth functioning of the scheme Key Responsibilities Scheme Implementation Ensure smooth and effective implementation of the Ayushman Bharat scheme at the hospital level Patient Enrollment Guide eligible patients through the Ayushman registration process ensuring all required documentation is collected and uploaded accurately Authorization Claim Management Submit pre-authorizations and final claims on the BIS PM-JAY portal Follow up on claim approvals and rejections Portal Management Maintain regular updates and entries in the Ayushman Bharat portal Ensure real-time data accuracy and error-free entries Coordination Liaise with the medical team billing and IT departments to coordinate approvals admissions and discharges under the scheme Compliance Audits Ensure all Ayushman-related documentation is maintained as per government norms Prepare for audits and inspections Reporting Generate and maintain MIS reports related to Ayushman admissions claims payments received and rejections Training Support Train supporting staff on the process and updates related to PM-JAY Assist in troubleshooting any issues Grievance Handling Address patient or family concerns related to scheme eligibility or claim rejections and provide timely resolutions Qualifications Skills Education Graduate or Postgraduate in Healthcare Management Public Health or related field Experience 1-3 years of experience in handling government health schemes portal Ayushman Bharat preferred in a hospital setting Tech Skills Proficiency in using Ayushman Bharat BIS PM-JAY portal and MS Excel Knowledge Good understanding of government health schemes insurance claim workflows and patient counseling Communication Strong interpersonal and communication skills to coordinate with internal teams and government authorities Compliance-Oriented Attention to detail and commitment to following rules and protocols HR Contact Namrata Kandari 9573695115 Job Types Full-time Permanent Pay 8 000 00 - 12 000 00 per month Benefits Health insurance Internet reimbursement Leave encashment Paid time off Work Location In person