Brief Job Description: The Pradhan Mantri Arogya Mitra (AM) is the primary contact for the beneficiaries at every empanelled hospital care provider. The AM shall be extensively responsible for operating the Beneficiary Identification System to identify and verify the beneficiaries entitled under Ayushman Bharat – Pradhan Mantri Jan Arogya Yojna (AB-PMJAY); undertaking Transaction Management such as submitting requests for Pre-Authorization and Claims and guiding the Beneficiary about the overall benefits under AB-PMJAY and providing information related to prompt treatment at empaneled health care provider.
Personal Attributes: The role holder needs to work in collaboration with healthcare providers and interact with patients and their families in a hospital setting. She/he should exhibit good coordination skills, self-discipline, dedication, persistence, ethical behavior and deal empathetically with patients. It is also important for the individual to have fluent communication skills in English/Hindi/local language, have adequate functional computer literacy, good hygiene and personal presentation.
NATIONAL OCCUPATIONAL STANDARDS (Nos.)
♦ HSS/N6116: Prepare for help desk operations
♦ HSS/N6117: Provide relevant AB-PMJAY information to others
♦ HSS/N6118: Check eligibility and verify patients / beneficiaries for AB-PMJAY
♦ HSS/N6119: Submit registration, pre-authorization and claims requests and facilitate service
♦ HSS/N6120: Use computers, electronic and related equipment for carrying out various work activities
♦ HSS/N9615 Maintain interpersonal relationship with patients, colleagues and others
♦ HSS/N6121: Maintain professional personal standards of grooming and conduct
♦ HSS/N6122: Apply health and safety practices at the workplace