Posted:3 weeks ago| Platform: GlassDoor logo

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On-site

Job Type

Full Time

Job Description

TPA Billing Manager – Ayushman Bharat (PM-JAY)

We are looking for an experienced TPA Billing Manager – Ayushman Bharat (PM-JAY) to manage end-to-end operations for Ayushman patients, including eligibility verification, pre-authorizations, billing, documentation, claim submission, and follow-up.

Key Responsibilities:

* Handle complete Ayushman Bharat (PM-JAY) billing operations.

* Verify patient eligibility and map correct packages.

* Ensure timely pre-auth, enhancements, and discharge approvals.

* Prepare accurate bills and complete documentation as per SHA guidelines.

* Submit claims, track settlements, and resolve audit queries.

* Coordinate with consultants, nursing, MRD, and finance teams.

Requirements:

* Graduate; MHA/MBA preferred.

* 2+ years of experience in Ayushman/TPA/government health scheme billing.

* Strong knowledge of PM-JAY guidelines, packages, and portal operations.

* Good communication, documentation, and coordination skills.

If interested, please share your resume at hr-mbd@aimsindia.com.

Job Type: Full-time

Pay: From ₹30,000.00 per month

Benefits:

  • Provident Fund

Work Location: In person

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