Job Summary:

The Ayushman Billing Executive is responsible for managing the billing and claim processes related to the Ayushman Bharat (PM-JAY) scheme. This includes patient registration under the scheme, preparation and submission of pre-authorization requests, billing entries, claim documentation, and ensuring timely reimbursement from the empaneled authority.

Key Responsibilities:

- Register eligible patients under the Ayushman Bharat (PM-JAY) scheme.

- Verify e-card details and confirm beneficiary eligibility.

- Assist patients and relatives with scheme-related queries.

- Raise and track pre-authorization requests through the BIS portal.

- Coordinate with doctors and departments for treatment details and documentation.





- Prepare accurate and timely bills as per package rates.

- Upload required documents (discharge summary, investigation reports, etc.) for claim processing.

- Track claim status and follow up for approvals or rejections.

- Maintain updated records of patient billing and claim submissions.

- Liaise with the hospital TPA desk and State Health Agency (SHA) for smooth processing.

- Ensure compliance with guidelines issued by the National Health Authority (NHA).

- Generate daily, weekly, and monthly reports on claims submitted and amounts reimbursed

📌 Walk-in || Ayushman Bharat- Billing (Greater Noida)
🏢 Sharda University
📍 Greater Noida