02 Nov
|
Medicon Group
|
Ambala
02 Nov
Medicon Group
Ambala
: 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 on-site 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 robust 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