Patient Assistance: Help eligible Ayushman Bharat beneficiaries understand and access cashless treatment.
Beneficiary Verification: Verify patient eligibility, identity documents, and Ayushman Bharat/PM-JAY details.
Pre-Authorization: Prepare and submit treatment authorization requests through the PM-JAY system and coordinate with the relevant authorities.
Claims Processing: Prepare, submit, track, and follow up on healthcare claims and resolve claim queries/rejections.
Hospital Coordination: Coordinate between patients, doctors, billing, medical records, insurance/TPA teams, and government scheme authorities.
Documentation: Maintain accurate records of admissions, treatments, discharge summaries, investigations, bills, and scheme-related documents.
Package & Billing Management: Ensure treatments are billed according to applicable PM-JAY packages and guidelines.
Discharge Coordination: Make sure required documentation is completed before discharge and that the beneficiary receives appropriate information.
Grievance Handling: Address patient complaints and escalate unresolved issues to the appropriate department.
Compliance: Ensure hospital processes comply with Ayushman Bharat/PM-JAY rules,



documentation requirements, and audit standards.
MIS & Reporting: Prepare daily/monthly reports on admissions, pre-authorizations, claims, settlements, pending cases, and rejected claims.
Audit Support: Assist during government, insurance, or internal audits and provide required records.
Follow-up: Track pending approvals, queries, claims, and payments and coordinate with the concerned authorities.

Educational Qualification
Minimum: Graduate degree in any discipline
BBA / MBA – Healthcare or Hospital Management
Bachelor/Master in Hospital Administration
B.Com or related field for billing/claims-focused roles
Basic knowledge of MS Office, especially Excel, and hospital software

Experience Requirement
Experienced candidates: Generally 2–3 years of experience in:
Hospital administration
Hospital billing
Insurance/TPA desk
Cashless claims
Government health schemes
PM-JAY/Ayushman Bharat operations

Pay: ₹16,000.00 - ₹33,000.00 per month

Advantages:
Provident Fund

Work Location: In person

📌 Billing Executive Ayushman Bharat Dera Bassi (India)
🏢 INDUS INTERNATIONAL HOSPITAL
📍 India