Arogyasree Executive

Job Description:

Responsibilities

• 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.

Qualification & Experience

• Any Graduate (Preferred: B.Sc., B.Com, BBA, Hospital Administration, B.Pharm, Nursing, Allied Health Sciences)
• Certification in Hospital Administration is an added advantage.