JOB DESCRIPTION :-
A. ECHS, Ayushman & Panel Coordination
- Coordinate with ECHS, Ayushman Bharat, CGHS, insurance companies, TPAs, and corporate panels for smooth processing of patient cases.
- Verify eligibility, approvals, referrals, and authorization requirements for cashless treatments.
- Ensure timely submission of all required documents and follow up for approvals and claim settlements.
- Maintain regular communication with beneficiaries/patients regarding approval status, documentation requirements, and claim progress.
- Coordinate with doctors, nursing staff, billing department, and medical records team for accurate documentation.
- Resolve queries, deficiencies, and claim-related issues raised by ECHS, Ayushman, TPAs, or panel authorities.
B. Documentation & Claim Management
- Collect, verify, and submit all required documents related to ECHS, Ayushman, TPA, and panel cases.
- Maintain records of approvals, denials, pending claims, and settlements.
- Track claim status and coordinate with the accounts department for reconciliation and payment follow-up.
- Ensure compliance with hospital policies, government guidelines, and panel requirements.
- Maintain accurate data entry and records in hospital software and panel portals.
- Communicate approvals, rejections, and deficiencies to patients and concerned departments promptly.
C. Panel Development & Relationship Management
- Coordinate with existing empanelled organizations and maintain healthy professional relationships.
- Assist in new empanelment processes with government and private organizations.
- Monitor panel performance and prepare periodic reports for management.
- Ensure adherence to service standards and panel agreements.
Required Skills
- Knowledge of ECHS, Ayushman Bharat, CGHS, TPA, and insurance claim processes.
- Good communication and coordination skills.
- Proficiency in MS Office, email communication, and hospital management software.
- Strong documentation and record-keeping abilities.
- Ability to work independently and manage multiple cases simultaneously.
Eligibility Criteria
- Graduate or Post Graduate in any discipline.
- Minimum 1 year experience in ECHS, Ayushman, TPA, Insurance, Hospital Billing, or Panel Coordination.
- Experience in hospital administration will be preferred.
Compensation & Benefits
- Salary: ₹15,000 – ₹25,000 per month.
- Higher salary may be offered based on relevant experience, skills, and performance.
- Opportunity for professional growth in hospital administration and healthcare management
- Preference:
- Male & Female Both Can Apply
Pay: ₹15,000.00 - ₹25,000.00 per month
Work Location: In person
