New Ayushmaan Bharat Jobs - Ayushman Mitras Jobs
Find the Latest Job details for Ayushman Mitras, Ayushmaan Bharat Jobs. We provide you a comprehensive details of the job roles of Ayushman Mitras - Ayushmaan Bharat Jobs along with responsibility and day to day task.
Job Description of Ayushman Mitras, Ayushmaan Bharat Jobs
Ayushman Mitra will need to be placed at each EHCP. An Ayushman Mitra (AM) is a certified
front line health service professional who shall be present at the EHCP and shall serve as a first contact for beneficiaries
Selection Criteria for Ayushman Mitras
The Ayushman Mitras (AMs) will be selected based on the following criteria:
- Completed Graduation from a recognized University
- Completed the Ayushman Mitra Training Course and passed the respective course exam/certification
- Possessing fluent communication skills in Hindi/ English and Local language of the State/ region
- Having adequate functional computer literacy which shall include understanding of Microsoft Office Suite and navigating through Internet Portals.
- Preference to be given to Female Candidates for the position of Ayushman Mitra. Qualified ASHA workers may be given preference for the position of AM.
Roles and Responsibilities of Ayushman Mitras - Ayushmaan Bharat Jobs
The Ayushman Mitra is the primary contact for the beneficiaries at every EHCP. The AM shall be responsible for focusing on three broad areas:
- Operating the Beneficiary Identification System to identify and verify the beneficiaries entitled under AB-NHPM
- Undertaking Transaction Management such as submitting requests for Pre-Authorization and Claims
- Guiding the Beneficiary about the overall benefits under AB-NHPM and providing information about receiving prompt treatment at EHCP or ensuring timely access to medical care, AM is responsible for operating the Beneficiary Identification System (BIS) to identify, authenticate and verify the beneficiaries entitled under the AB-NHPM.
The AM shall work on the BIS as per the process mentioned below.
- AM receives the potential Beneficiary visiting an EHCP at the designated kiosk.
- AM collects the AADHAAR Card, Family ID Card or any other Government ID Card from the beneficiary.
- AM searches the beneficiary name/family using different parameters
- On identification of beneficiary name in database, AM proceeds for beneficiary authentication through the provided Government ID card.
- AM either does online authentication using Aadhaar or enter details in case of Non-AADHAAR document and validate beneficiary mobile number. A digital photo of the beneficiary is also taken by the AM.
- Post, beneficiary authentication, AM scans the family card submitted by the beneficiary for establishing the beneficiary relation in the family.
- The AM, after uploading Government ID and Family ID receives a ‘name match score’ and ‘family match’ score on the BIS application.
- After the beneficiary verification (personal and family-level) is complete, record gets inserted into the database as a ‘silver’ record and the AM shall print a Provisional Card mentioning the AB-NHPM ID of the beneficiary.
- The AM, then submits the ‘record’ to the Approving authorities for further verification and approval. The tentative time required for approval is 30 mins.
- If beneficiary gets verified and approved by the Approving Authorities, the beneficiary data will be stored as a “golden record” and AM will receive the notification.
- AM will then print the AB-NHPM e-Card as “golden record” and give it to the beneficiary.
Along with ensuring a systematic operation of BIS, the AM is also responsible for the following duties:
- To provide all the necessary assistance and details about the scheme to the beneficiaries.
- In case of OPD: If the ailment does not require hospitalization, AMs will have to explain to the beneficiary that the AB-NHPM card does not cover the OPD treatment and hence any cost incurred for treatment under OPD will be necessarily borne by the patient.
- To collect, scan and upload all the necessary documents required for submitting the request for preauthorization.
- To ensure that the patient, from the time of pre-authorization to discharge, is getting all the benefits as per AB-NHPM norms.
- To liaison with the EHCP for timely admission and availability of bed to patient.
- To help locate facilities and guide a patient in receiving prompt treatment.
- To liaison and coordinate with the Medical officer for collecting, scanning and uploading all the necessary documents required for submitting claim request.
- To ensure that all the facilities that the AB-NHPM beneficiaries requires are being rendered without charging any amount.
- To verify discharge summary and follow-up details to the discharged beneficiaries.
- In an unlikely scenario of e-card being lost or damaged, AM is to guide the cardholder for obtaining a copy of the e-card
- To immediately bring all grievances to the notice of Grievance Cell directly or through District Coordinator.
- To facilitate the hospital in giving prior phone intimation to the concerned authority for carrying out the emergency surgeries.
- To track and report refund of any investigation amount collected in contravention to the Scheme Guidelines
- To report any irregularities or inadequacy noticed to the concerned supervisors.
Thus, to ensure that AMs fulfil the responsibilities in an efficient manner, it is important to have a comprehensive monitoring mechanism. The SHA, in coordination with the selected agency shall be responsible for monitoring the performance of AMs. The monitoring of AMs shall include the following parameters.
- Tracking Biometric Attendance of AMs on a daily/weekly basis
- Tracking the number of returns for the Pre-Authorization Requests submitted
- Evaluating the percentage of complete Pre-Authorization Requests at first instance
- Assessing performance in Periodic Trainings
- Analysing Beneficiary Feedback in terms of score rating and qualitative questionnaire
- Evaluating the performance reviews submitted by District Coordinators and Senior AMs
- To conduct refresher training of the AMs ensuring they are aware of any changes in their role
Benefits to Ayushman Mitras - Ayushmaan Bharat Jobs
For all the AMs working in public facilities, benefits shall be paid by the SHA/SHA Selected Agency. The suggested benefits for the AM can be:
- Honorarium of Rs. 5,000 per month
- A commission of Rs. 50 on completion of every processed claim including the verification and storage of beneficiary as a golden record. The variable commission will be paid from the Rogi Kalyan Samiti/NHM Funds. The commission offered will be valid for an initial period of 2 years. The commission offered shall be subjected to a review after 2 years.
- Provision of Mobile Closed User Group (CUG) network either through the Third-Party Agency selected by the SHAs or through some other mechanism. State may also revise the suggested benefits to AM, based on local conditions.
- For all the AMs working in Private EHCP, benefits shall be paid by the Private EHCP itself. The nature of benefits should be decided by the Private EHCP.
Term of Ayushman Mitra
- An Ayushman Mitra may be hired for initially for a period of one year and his/ her contract can be renewed yearly based on the performance.
