RMO / Registrar

Kokilabenhospital; Amravati; On-site; INR 300,000 - 480,000; Full time

Job summary

Kokilabenhospital in Amravati is seeking a dedicated professional to manage patient evaluations and hospital admissions while ensuring high standards of customer service. The role requires exceptional attention to detail and the ability to work under pressure, handling various emergency situations efficiently.

Responsibilities include monitoring insurance claims, facilitating admissions, and maintaining detailed clinical notes, contributing to seamless operations in a fast-paced environment. This position is essential for ensuring compliance with medical protocols and providing excellent care to patients.

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.
• Ensure all required evaluations including diagnostic tests are completed.
• Upload OP/IP status of patients.
• Guide patients in all aspects and sign investigation requests.
• Verify diagnosis coverage under the scheme.
• 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 patients.
• Verify all required documents before sending preauthorization.
• Coordinate with insurance and society doctors as required.
• Monitor pending pre-authorizations and make necessary corrections.
• Maintain daily clinical notes.
• Upload required patient photographs and documentation for empanelment.
• Update surgery and discharge details with follow-up advice.
• Ensure follow-up consultations, investigations, and distribution of drugs as needed.
• Attend and resolve beneficiary grievances.
• Ensure reimbursement of eligible transportation costs.
• Upload operation notes and claim documents.
• Follow up on pending insurance claims.
• Verify claim documentation before submission.
• Perform additional responsibilities assigned.
• Ensure treatments comply with medical protocols.
• Attend training and re-orientation programs.
• Convert registered patients into IP/OP patients.

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.

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