Job Description

Job Description

Kaapro Management Solutions Pvt. Ltd. is a consulting firm engaged in consulting assignments across diverse sectors in India, has been engaged with Health & Family Welfare Department, Government of Odisha to provide consulting services for Conducting Recruitment and Outsourcing of Staff under State Health Assurance Scheme. In this regard, Kaapro invites applications from qualified candidates for the position of Swasthya Mitra on contractual basis.

Job Description:

Incumbent of this role shall be responsible for:

Help Desk Management- Coordination with OPD of network hospital to ensure that the beneficiary under BSKY get cashless benefit, If the Patient approaches the BSKY help desk at the Network Hospital, guide him to register of self at OPD counter of the Empanelled Network Hospital, Accountable for educating the intended beneficiary of BKSY for cashless treatment at the network hospital, Report to the authority if mis-guided by OPD incharge for not conducting the treatment under BSKY, Register the patient by verifying all eligible document and assist to arrange only missing document if any, Ensure registration of the patient in BSKY software application, Pre-Auth request and its follow shall be done in regular basis and Patient/ his or her attendant shall be informed accordingly, Blocking/ Un-blocking/ Package Change shall be done as per the software process, Cases where the patient reached as a beneficiary under OSTF (Odisha State Treatment Fund) shall produce the income certificate for the entitlement which is required to be verified by the Swasthya Mitra, ensure the collection of the necessary document starting from pre-auth approval/ clinical process and other document required for the claim settlement, Uploading of certified check list format SF-1 duly certified by the Hospital In-charge together with supporting document in the TMS webportal of BSKY, ensure the collection of Package Blocked Certificates in SF-2 format and sent to HQ, maintain the daily beneficiary visit format as provided by SHAS which will be monitor by SHAS or TPA representative nominated by SHAS.

Feedback Management- Arrange to keep patient copy as record for future reference, scan and send to the head office if required, Collection of Satisfactory Report SF-3 from patient or attendant, In-case the patient is discharged is immediately and not traced by the Swasthya Mitra, then the Swasthya Mitra has to arrange to collect the Satisfactory Report as per the SF-3 from the patient at any cost, taking extra initiative to get the feedback of the patient after the treatment from empanelled hospital, make calls to the existing health structure to ensure the service delivery at field level. S/He must keep the contact details of ASHA, Multipurpose Health Worker, Anganwadi Karmi, VLW etc., if required to track the patient in urgent basis, The message if any required to deliver to the patient or its dependent has to be sent and monitored the delivery with acknowledgement should be kept for record.

Grievance Redressal- Receive the complaints either orally or in writing from the patients or from the complaint/suggestion box, Register and facilitate to resolve all the grievances reported, Ensure immediate assistance for complaints related to denial of services or entitlements by referring these complaints to the nodal officer, Refer unresolved cases to appropriate authority, track them for timely redressal and make available these details to the complainant, Register all the grievances in the Help desk register and report to the head office immediately, Resolve real time grievances immediately at the facility level by proper mechanism, Inform the complainant about the status of grievance reported- whether resolved or unresolved and if resolved, details of relief provided by appropriate mechanism, Overall responsibility to maintain the conducive environment in the facility by proactively resolving the real time grievances and pointing infrastructural and patients' amenities related gaps to the head office for improving the services, Be caring and empathetic to complainant.

 Remuneration: Rs.15173/- p.m CTC

Assignment Location: All district of Odisha (Please specify your preferred district)

Qualification:

·       Graduation degree with minimum 55% mark

·       Any Computer Certificate (DCA/PGDCA)

Experience & Knowledge:

Applicant for this job must have: Minimum of 2 years of experience after graduation

Security Deposit: 

You shall deposit an amount of Rs.13,500/- (Rupees Thirteen Thousand Five Hundred only) in the form of a DD towards one time Interest Free Refundable Performance security deposit fee.

DD shall not be refunded in following cases:

 ·         You leave without joining

·         Leave without giving a notice of at least 30days.

·         You need to work for atleast 12 months to get a refund

GENERAL TERMS & CONDITIONS

1.     All communications to Candidates shall be sent to the e-mail ID submitted at the time of submission of the online application.

2.     Documents in support of Identity, Qualifications, Experience etc. have to be produced in “originals” as and when called for.

3.     The selection process will be based on academic qualifications and experience and achievement in assessments including interview and written exam (if required)

4.     The prescribed eligibility conditions viz qualification and experience etc should have been acquired as on application date. Qualifications should be from approved recognized institutions.

5.     In case of false or insufficient information / lack of proof to ascertain the eligibility of the applicant, their candidature will be summarily rejected at any stage of the selection process and action, as may be deemed fit, may be taken anytime.

6.     Candidates are informed that mere submission of applications OR fulfilling of the eligibility criteria does not entitle them to be called for assessment / interview / selection. Call letters and other information pertaining to this recruitment will be sent to shortlisted candidates only by email. Applicants should ensure that the “e-mail id” given in the online application is maintained active.

7.     The engagement does not confer any claim on the candidate to seek any other temporary / permanent employment with SHAS/ Kaapro

8.     Applicants should be ready to travel to the designated test location / venue at short notice and at their own cost for all levels of assessments

IMPORTANT NOTE: - Incomplete application shall be outrightly rejected; The content provided in the online application shall be considered to be true and shall be basis of the screen of applicant’s qualifying criteria. Any discrepancy in future between online application submission and reality shall make the application null and void at any stage of employment process. All documentary evidence shall be required to be produced at appropriate time. Absence of documentary evidence in support of the applicant’s submission shall make the applicant ineligible for the role. 

Kaapro Management Solutions Pvt. Ltd.

Bhubaneswar, 751001, Odisha.