*Job Description: BAMS Doctor – ECHS Billing & Clinical Duties*

_For Hospitals/Nursing Homes with ECHS Empanelment_

*1. Basic Profile*

*Position*: Medical Officer – ECHS / BAMS Doctor

*Department*: ECHS Cell + OPD/IPD

*Reports to*: Medical Superintendent / ECHS Nodal Officer

*Qualification*: BAMS from recognized university + State registration

*Experience*: 0-2 yrs. Fresher BAMS with computer knowledge preferred

*2. Core Responsibilities – ECHS Billing*

1. *Patient Registration & Verification*

- Check ECHS card, dependency status on Kiosk/ECHS portal

- Verify referral from ECHS Polyclinic, validity, specialty covered

- Create UMID entry for OPD/IPD

2. *Billing & Documentation*

- Generate pre-auth for planned admissions/surgeries on ECHS portal

- Code procedures/diagnosis as per CGHS/NABH rates

- Upload clinical notes, discharge summary, bills on BPA portal

- Raise claims within TAT – 7 days of discharge for IPD





- Handle claim queries, rejections, CPD/SO observations

3. *Coordination*

- Liaison with ECHS Regional Center & BPA like UTI-ITSL

- Coordinate with TPA, accounts, pharmacy for medicine billing

- Guide patients for ECHS process, non-admissible items

4. *Compliance*

- Maintain NABH/ECHS guidelines, prescription audits

- Keep record of EIR, referral register, claim tracking sheet

- Ensure no overcharging – only CGHS package rates apply

*3. Clinical Responsibilities – BAMS Scope*

1. *OPD Duties*: Treat general medicine patients, AYUSH OPD as per BAMS scope. No allopathic emergency unless life-saving

2. *IPD Rounds*: Write daily notes, monitor vitals for ECHS admitted patient

Work Location: In person

📌 ECHS billing Head (India)
🏢 Mukat Hospital + Heart Institute - Super Speciality Hospital
📍 India