- Verify Ayushman Bharat beneficiaries and their eligibility.
- Assist patients with Ayushman Card verification and documentation.
- Handle patient registration and case processing on the Ayushman Portal.
- Prepare and submit Pre-Authorization requests.
- Select appropriate treatment packages as per the patient's diagnosis.
- Upload required medical documents and treatment records to the portal.
- Process discharge formalities and submit claims.
- Follow up on pending pre-authorizations, claims, queries, and rejected cases.
- Coordinate with doctors, billing, TPA, and other hospital departments.
- Maintain proper records of Ayushman patients and claim status.
- Ensure timely and accurate processing of all Ayushman cases.
- Prepare daily reports of submitted, pending, and approved cases.
Required Skills & Qualifications:
- Graduate preferred.
- Previous experience as an Ayushman Operator or TPA Executive in a hospital will be preferred.
- Knowledge of Ayushman Bharat PM-JAY Portal and claim processing.
- Basic computer knowledge and MS Office skills.
- Good communication and coordination skills.
- Ability to manage documentation and work under deadlines.
Experience: 1–2 Years Preferred (Freshers with relevant computer knowledge may also apply).