Front Desk Supervisor/tpa - Ayushman (Uttarakhand)

Front Desk Supervisor/tpa - Ayushman (Uttarakhand)

08 Aug
|
THF
|
Uttarakhand

08 Aug

THF

Uttarakhand

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 GENERALLocation of Job Dehradun Uttarakhand Annual Salary before TDS Salary will be commensurate with education experience of the candidate and past salary drawn No of Positions 01Job type Contractual for one-year renewable basis project requirements Key Responsibilities Stock Management and Billings 1 Stock Usage Issuance TrackingTrack 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 RegistrationVerify 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 ManagementCoordinate 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 ComplianceServe 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 VisitVisit 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 Management1 Patient HandlingGreet 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 CoordinationHandle 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 SupportAssist 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 ManagementMaintain visitor logs appointment schedules patient inquiry registers and feedback forms Ensure cleanliness organization and operational readiness of the reception area Prepare daily and monthly front office reports Educational QualificationsGraduate in any discipline Candidates having masters degree in relevant field will be given preference Functional Technical Skills and Relevant Experience Other requirements Behavioral Language Certifications etc 2-5 years of experience in Dialysis Centre with good knowledge and skills Positive communication and documentation in English and Hindi Data analysis reporting and presentation skills Willingness to travel extensively in remote areas Reporting to Programme Manager THF is an equal opportunity employer that encourages women people with disabilities and those from economically and socially excluded communities with the requisite skills and qualifications to apply for positions We do not discriminate in employment on the basis of caste creed religion sex sexual orientation marital status disability or any other such matter

📌 Front Desk Supervisor/tpa - Ayushman (Uttarakhand)
🏢 THF
📍 Uttarakhand

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