{"@context":"https://schema.org","@type":"JobPosting","title":"Walk-in || Ayushman Bharat- Billing","description":"

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

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