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Tpa Coordinator - Mumbai, India - Gmoney Pvt Ltd

Gmoney Pvt Ltd

Verified Company

Mumbai, India

4 weeks ago

Posted by:

Deepika Kaur

beBee Recuiter

Description

Ensure that all required evaluation including diagnostic tests along with reports of beneficiary families

captured in the MJPJAY/PMJAY/ESIC society portal.

Upload the OP/IP status of the patient after MCO decision.

To facilitate the admission process by completing online formalities.

After admission collect all the necessary investigation reports before sending for approval.

Upload the admission notes and preoperative clinical notes of the patient with the help of MCO.

Ensure that preauthorization request is sent only for those who are on bed (IP)

Ensure before sending Preauthorization that all documents like health card or validation card

(yellow/orange) coupled with Aadhar number, Patient photo and also necessary reports like CT Films, X

Ray films, Angio CD etc. are uploaded in the system.

Preauthorization kept pending from (ALL TPA) and MJPJAY society will be verified on a regular

basis and necessary updations to be done with the assistance of MCO.

Upload 3 Photographs of the Patient taken preoperative bedside, immediate postoperative showing

operation wound and at the time of discharge.

Update surgery and discharge details and hand over signed copy of the summary along with follow-up

advice in preprinted stationary supplied.

Ensure to update the details of on bed status of patients time to time as per the format on the display

board placed at the Aarogyamitra Kiosk / reception desk.

Worked on Claim settlement in MJPJAY Yojna

Job Types:
Full-time, Permanent

Salary:
₹25, ₹40,000.00 per month

Benefits: