Front Desk Supervisor/tpa

The Hans Foundation, established in 2009, is a Public Charitable Trust that that works for the improvement of quality of life for underprivileged communities across India through Health, Education, Livelihood and Disability sector interventions. THF undertakes direct implementation of projects on the ground in addition to providing funding support to not-for-profit organisations in India through its donor - RIST, USA. THF’s Strategic planning focuses on key areas of its work with the aim of addressing the key issues of poverty alleviation, economic inequalities, and 360° impact on the quality of life through social development programs. THF’s programs are majorly implemented in the most rural and under-developed areas in the country. Over the years, THF has expanded its charitable activities in collaboration with State and Central Governments, institutions, corporates, academia and non-government organizations for sustainable interventions to achieve scale and economy. The interventions implemented by the foundation range from grass root level to national level programs.

**PROJECT**

The Hans Foundation has been operating more than 25 Hans Renal Care Centers on self-Implementation mode since January 2022. HRCC intervention is an innovative model of healthcare delivery that could help alleviate health disparities among vulnerable populations and individuals with chronic Kidney diseases.

**GENERAL**

** Location of Job: Dehradun (Uttarakhand)**

** No. of Positions: 01**

** Job type**: Contractual for one-year, renewable basis project requirements.

**Key Responsibilities**:
**Stock Management and Billings**

**1. Stock Usage & Issuance Tracking**

- Track daily consumption of dialysis supplies, drugs, disposables, and administrative materials.
- Issue stock to clinical and administrative departments with proper documentation.
- Update stock registers (manual/electronic) daily.

** 2. Stock Audits & Compliance**

- Conduct weekly and monthly stock audits to ensure accuracy.
- Reconcile physical stock with system records and report discrepancies.
- Ensure proper storage, labelling, and FIFO, LFO and FEFO compliance (First-In First-Out).
- Prepare periodic inventory reports for management and auditors.

** Ayushman**

**1. Beneficiary Verification & Registration**

- Verify patient eligibility for Ayushman Bharat or other TPA schemes using the BIS portal.
- Register beneficiaries, generate e-Cards, and maintain accurate demographic records.
- Ensure proper documentation (Aadhaar, ration card, etc.) and maintain confidentiality.
- Update and store all registration data systematically.

** 2. Pre-Authorisation & Claim Management**

- Coordinate with doctors to map appropriate Ayushman Bharat packages.
- Submit pre-auth requests with complete medical and diagnostic documents.
- Follow up with SHA/Insurance companies for approvals.
- Prepare and upload final claim documents (bills, discharge summaries, clinical notes).
- Track claim status and ensure timely closure of pending/rejected cases.
- Maintain a detailed log of submitted, approved, pending, and rejected claims.

** 3. Coordination & Compliance**

- Serve as liaison between the hospital, State Health Agency (SHA), TPA, and DIU.
- Ensure adherence to Ayushman Bharat guidelines and package norms.
- Assist during audits and verification visits from government agencies.
- Submit daily, weekly, and monthly MIS reports on registrations, pre-auths, and claims.
- Keep management updated on new circulars, packages, and policy changes.

** 4. Weekly Coordination Visit**

- Visit the Ayushman Bharat Office / District Health Agency weekly to:

- Submit physical claim files.
- Resolve discrepancies or pending claim issues.
- Collect official notifications and updates.
- Discuss rejected cases and follow up for approvals.
- Submit a Weekly Visit Report summarizing issues addressed and action points.

** 3. Front Office & Reception Management**

** 1. Patient Handling**

- Greet and assist patients and visitors professionally.
- Provide information regarding hospital services and processes.
- Handle patient registration with accurate data entry.
- Guide Ayushman Bharat beneficiaries regarding documentation and e-Card generation.

** 2. Communication & Coordination**

- Handle incoming calls and route them to appropriate departments.
- Coordinate with medical, nursing, diagnostics, and billing teams for smooth workflow.
- Address patient queries or escalate grievances appropriately.

** 3. Admission, Billing & Discharge Support**

- Assist billing team with patient scheme details and eligibility.
- Ensure correct AB-PMJAY package mapping before discharge.
- Guide patients through discharge formalities and post-discharge documentation.

** 4. Record Management**

- Maintain visitor logs, appointment schedules, patient inquiry registers, and feedback forms.
- Ensure cleanliness, organization, and operational readiness of the reception area.
- Prepare daily and monthly fro