Back Office Staff

Key Responsibilities:

1. Ayushman Card Generation & Verification

• Assist patients in verifying Ayushman eligibility using BIS portal or mobile apps

• Download and print Ayushman cards for eligible patients

• Ensure document collection (Aadhar, ration card, etc.) for card generation

• Coordinate with patients to create or update records if not found in the database

2. Patient Registration & Admission Under Scheme

• Register patients under the scheme after checking eligibility

• Coordinate with IPD/OPD departments for admission under the Ayushman scheme

• Generate and maintain PMJAY registration and treatment records

3. Pre-authorization & Treatment Enhancement

• Initiate pre-auth requests for listed procedures with correct documentation

• Track status of approvals and take necessary follow-up actions

• In case of treatment cost escalation, prepare and upload enhancement requests

• Coordinate with patients and doctors for clarification or extra documents if needed

4. Claims Management & TPA Coordination

• Prepare and submit claim files with all supporting documents (case sheet, investigation, discharge summary, etc.)

• Track and follow up on claim approvals, rejections, and pendency

• Coordinate with TPA/state Ayushman team for queries and resolution

• Ensure that claims are submitted within timelines and in proper format

5. Patient Education & Coordination

• Explain the scheme benefits, process, and limits to patients/families clearly

• Help patients avail maximum benefits under PMJAY without confusion

• Maintain patient satisfaction and resolve concerns related to Ayushman billing

6. Reporting & Record Keeping

• Maintain daily, weekly and monthly MIS reports

• Document all patient interactions, approvals, and claim statuses properly

• Ensure all records are complete and audit-ready

Qualifications & Skills:

• Graduate (any stream); preference to Experienced candidates.

• Knowledge of PMJAY / Ayushman Bharat guidelines is essential

• Basic Computer Skills (MS Excel, Internet, Portal usage)

• Experience in hospital, insurance desk, or govt. schemes preferred

• Strong communication and coordination skills

• Ability to handle patient queries with empathy and professionalism

• It is a Full Time Back Office / Data Entry job for candidates with 0 - 3 years of experience.

More about this Back Office Staff job

1. What is the eligibility criteria to apply for this Back Office Staff job?
   Ans: The candidate should be Graduate and above and above with 0 - 3 years of experience of experience
2. How much salary can I expect for this job role?
   Ans: You can expect a salary of ₹10000 - ₹25000 per month that depends on your interview. It's a Full Time job in Raipur.
3. How many working days are there for this Back Office Staff job?
   Ans: This Back Office Staff job will have 6 working days.
4. Are there any charges applicable while applying or joining this Back Office Staff job?
   Ans: No, there is no fee applicable for applying this Back Office Staff job and during the employment with the company, i.e., ROOPJEEVAN HOSPITAL.
5. Is it a work from home job?
   Ans: No, it’s not a work from home job and can't be done online.
6. How many openings are there for this Back Office Staff role?
   Ans: There is an immediate opening of 1 Back Office Staff at ROOPJEEVAN HOSPITAL
7. Who can apply for this job?
   Ans: Both Male and Female candidates can apply for this Back Office / Data Entry job.
8. What are the timings of this Back Office Staff job?
   Ans: This Back Office Staff job has 11:00 दोपहर - 07:00 शाम timing.