Ayushman coordinator

Job Title: Ayushman Coordinator

Department: PM-JAY / Ayushman Bharat Cell
Location: Anvi Newborn and Child Hospital
Reports To: General Manager/Director
Job Type: Full-time

Job Summary:

The Ayushman Coordinator is responsible for overseeing the effective implementation and management of the Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (PM-JAY) within the hospital. The role involves supervising Ayushman Mitra, ensuring timely claim processing, compliance with scheme guidelines, and coordinating with government authorities and empanelled patients.

Key Responsibilities:

• Manage and supervise the daily operations of the Ayushman Bharat Schemes of Hospital.
• Coordinate with doctors, Ayushman Mitras, and departments for smooth patient onboarding and documentation.
• Ensure timely registration, verification, and e-card generation for eligible beneficiaries.
• Oversee the preparation and submission of pre-authorization requests on the TMS portal.
• Monitor and ensure timely claim submissions, approvals, and disbursals.
• Maintain accurate records of patient admissions, discharges, treatment packages, and claims.
• Act as the hospital’s single point of contact (SPOC) for district/state Ayushman authorities.
• Ensure compliance with scheme guidelines, package rates, and documentation requirements.
• Conduct regular audits of pending/denied claims and resolve discrepancies.
• Train and guide Ayushman Mitras and hospital staff on new updates in the scheme.
• Prepare and submit daily, weekly, and monthly reports to hospital management and PM-JAY authorities.

Qualifications:

• Bachelor’s degree in Hospital Administration, Public Health, or related field (preferred).
• Minimum 1–3 years of experience in health insurance/TPA/PM-JAY operations.
• Strong knowledge of BIS (Beneficiary Identification System) and TMS (Transaction Management System).
• Proficient in computer use – MS Excel, MIS reporting, and data entry.
• Good communication and team coordination skills.

Preferred Skills:

• Strong understanding of government health schemes.
• Analytical mindset for tracking claims and resolving rejections.
• Problem-solving attitude and ability to work independently.
• Familiarity with hospital workflows and clinical departments.

Job Types: Full-time, Permanent

Pay: ₹15,000.00 - ₹25,000.00 per month

Schedule:

• Day shift
• Morning shift
• Night shift
• Rotational shift

Work Location: In person