Job Responsibilities:
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).