We are looking for an experienced Ayushman Executive / PM-JAY Claim Executive with a background in the hospital industry only. The candidate should have hands-on experience in handling Ayushman Bharat (PM-JAY) processes, patient coordination, pre-authorization, claim submission, and claim settlement.
Freshers are not eligible.
Key Responsibilities
- Handle complete Ayushman Bharat (PM-JAY) process from patient registration to claim settlement.
- Verify patient eligibility and Ayushman card details.
- Process pre-authorizations and coordinate with insurance/TPA as required.
- Prepare, verify, and upload all required claim documents.
- Submit and track claims on the Ayushman portal.
- Resolve claim queries, deficiencies, and re-submissions.
- Coordinate with doctors, billing department, medical records, and patients for smooth claim processing.
- Maintain proper documentation and ensure compliance with hospital and government guidelines.
- Provide support to patients regarding Ayushman scheme-related queries.
Eligibility
- Minimum 2 years of experience in Ayushman/PM-JAY Claim Processing.
- Hospital industry experience is mandatory.
- Candidates from other industries will not be considered.
- Positive knowledge of Ayushman Portal, claim documentation, and hospital workflow.
- Basic computer knowledge (MS Office, Email, Internet).
- Good communication and coordination skills.
Salary
- ₹18,000 – ₹21,000 per month (Based on experience and interview)
Working Hours
- 8 Hours Shift
- Shift timings will be as per hospital policy.
Job Type
- Full-Time
How to Apply
Interested candidates with relevant hospital experience only can contact the HR Manager at (phone hidden).
Calling Time: 9:30 AM to 2:00 PM only.
Note:
- Freshers should not apply.
- Only candidates with hospital experience in Ayushman/PM-JAY claim handling will be considered.