Responsible for handling patients under the Ayushman Bharat (PMJAY) scheme, including verification, documentation, claim processing, and coordination with the hospital and insurance portal.
Key Responsibilities:
Register and verify Ayushman Bharat (PMJAY) patients.
Check eligibility using PMJAY portal or BIS system.
Upload patient documents and pre-authorization requests.
Coordinate with doctors and hospital departments for treatment approval.
Process discharge and final claim submission on PMJAY portal.
Maintain records of Ayushman patients and claims.
Follow up on claim approvals and rejections.
Ensure compliance with government guidelines.
Qualification:
Graduate in any field (Hospital Administration preferred).