02 Nov
|
Medicon Group
|
Ambala
02 Nov
Medicon Group
Ambala
Job Description
Executive / Officer – Medical Documentation & Panel File CompletionPosition Title: Executive / Officer – Panel Claims & Medical Documentation Company: Medicon Group
Location:
Ambala, Haryana (On-site) Department: Billing / Operations / Panel Desk Employment Type: Full-time Notice Period: Immediate Joiner Required Role OverviewMedicon Group is looking for a detail-oriented professional for an in office operational role in Ambala, Haryana. This role focuses on non-clinical file management and medical record completion for government healthcare panels, primarily ECHS, ESIC, CGHS, and Ayushman Bharat. While a clinical background (such as MBBS, BAMS, BHMS, Life Sciences, or Hospital Administration) is welcome, the day-to-day responsibilities are non-medical/administrative. The candidate will ensure case files, clinical justifications, investigation attachments, and doctor notes meet empanelment norms to secure claim approvals without deductions.
Key Responsibilities
• File Completion & Verification: Audit and assemble complete physical and digital case sheets for discharged and OPD patients under ECHS, ESI, CGHS, and other schemes.
• Non-Clinical Documentation Audit: Check for all mandatory paperwork, including scheme identity/smart cards, referral authorizations, emergency certificates, admission notes, treatment charts, and investigation reports.
• Medical Justification Support: Review clinical notes, diagnosis write-ups,
and discharge summaries to ensure treatment justifications align with panel package codes and guidelines before portal submission.
• Discrepancy Rectification: Coordinate internally with attending doctors, nursing supervisors, pharmacy teams, and billing staff to resolve missing signatures, unapproved investigations, or documentation gaps.
• Portal Alignment & Handover: Organize audit-cleared files and hand them over smoothly to the bill upload team; track query sheets and assist in compiling paperwork needed for portal objections or resubmissions.
• Record Tracking: Maintain registers and status trackers for daily file movements between wards, medical records, and the claims submission desk. Qualifications & Requirements
•
Education:
Graduate in any discipline / Hospital Administration / Life Sciences / Nursing. Candidates with a medical degree (MBBS / BAMS / BHMS) looking for panel documentation, claims, or desk operations roles are welcome to apply.
•
Experience:
Experience in hospital administration, TPA desks, medical record departments (MRD), or panel file processing. Direct prior experience in ECHS and ESI panel file preparation is a strong advantage.
• Documentation Knowledge: Familiarity with panel checklist requirements, claim justifications, tariff guidelines, and hospital paperwork formats.
• Technical
Skills:
Basic computer knowledge (MS Excel, word processing, and Hospital Information Systems/HIS).
• Joining Availability: Must be an immediate joiner.
📌 Medical Doctor (Ambala)
🏢 Medicon Group
📍 Ambala