RMO / Registrar

Job Description:

Responsibilities

• Accountable and resilient; ability to work as part of a team.

• Ability to work under pressure.

• Commitment to delivering a high level of customer service.

• Flexibility to respond to a variety of emergency situations.

• Able to work accurately with an eye for detail.

Ensure all required evaluations including diagnostic tests are completed and reports are captured in the Society portal.

• Upload OP/IP status of patients.

• Guide patients in all aspects and sign investigation requests.

• Verify diagnosis coverage under the scheme and coordinate with treating specialists as required.

• Facilitate patient admissions without delay.

• Collect necessary investigation reports before approval submission.

• Upload admission notes and pre-operative clinical notes.

• Ensure preauthorization requests are sent only for admitted (IP) patients.

• Verify all required documents and reports are uploaded before sending preauthorization.

• Coordinate with insurance and society doctors as required.

• Monitor pending pre-authorizations and make necessary corrections.

• Maintain daily clinical notes (pre-operative and post-operative).

• Upload required patient photographs and documentation for empanelment.

• Update surgery and discharge details and provide discharge summaries with follow-up advice.

• Ensure follow-up consultations, investigations and distribution of drugs as per society requirements.

• Attend and resolve beneficiary grievances within defined TAT through online modules.

• Ensure reimbursement of eligible transportation costs at discharge.

• Upload operation notes, post-operative details and claim documents.

• Follow up on pending insurance claims and ensure timely updates.

• Verify claim documentation before submission and support audit requirements.

• Perform additional responsibilities assigned by Society/Insurer.

• Ensure treatments and therapies comply with standard medical protocols.

• Attend training and re-orientation programs conducted by MJPJAY/PMJAY Society/Insurance.

• Convert registered MJPJAY patients into IP/OP patients and facilitate treatment.

Qualification & Experience  

• MBBS

• 1–5 Years