The Aarogyasri Executive is responsible for coordinating all activities related to the Dr. YSR Aarogyasri Scheme, including patient registration, eligibility verification, pre-authorization, documentation, claim submission, follow-up, discharge coordination, and claim settlement. The role ensures timely approvals, compliance with scheme guidelines, and a seamless experience for beneficiaries.
- Assist Aarogyasri beneficiaries with registration and eligibility verification.
- Verify patient documents, Aadhaar, ration card, and scheme eligibility.
- Coordinate with consultants for diagnosis, treatment package selection, and documentation.
- Prepare and submit pre-authorization requests through the Aarogyasri portal.
- Follow up with the Trust for pre-authorization approvals and clarifications.
- Coordinate admissions, surgeries, and discharge processes for Aarogyasri patients.
- Ensure complete clinical and administrative documentation for every case.
- Upload investigation reports, consent forms, operative notes, discharge summaries, and photographs as per scheme requirements.
- Submit final claims within stipulated timelines.
- Follow up on pending claims, deficiencies, and claim settlements.
- Coordinate with doctors, nursing, billing, medical records, and Aarogyasri officials.
- Maintain daily MIS, patient census, approval status, claim status, and pending reports.
- Ensure compliance with Aarogyasri guidelines and hospital policies.
- Educate patients and attendants regarding scheme benefits and procedures.
- Support internal and external audits related to Aarogyasri documentation.
- Resolve patient queries and coordinate for smooth discharge and claim processing.
- Any Graduate (Preferred: B.Sc., B.Com, BBA, Hospital Administration, B.Pharm, Nursing, Allied Health Sciences)
- Certification in Hospital Administration is an added advantage.
