Vikas Shukla

Hospital Marketing / Business Development

• Handling government empanelments and institutional tie-ups for the hospital.
• Coordinating with CGHS, Ayushman Bharat, ECHS, ESIC, and other government health schemes.
• Managing documentation, application submission, and renewal process for hospital empanelments.
• Developing relationships with government departments, PSU organizations, TPAs, and corporate clients.
• Ensuring compliance with empanelment guidelines and hospital eligibility requirements.
• Liaising with insurance companies and third-party administrators for cashless services.
• Increasing patient inflow through government and institutional partnerships.
• Coordinating with internal departments for audits, inspections, and claim-related requirements.
• Monitoring empanelment status, agreement renewals, and package updates.
• Supporting hospital branding and outreach through strategic government collaborations

Referral Marketing Responsibilities

• Develop and execute referral marketing strategies to increase patient inflow through doctors, consultants, and existing patients.
• Build and maintain strong relationships with referring physicians, clinics, and healthcare partners.
• Design patient referral programs to encourage word-of-mouth marketing.
• Track and analyze referral sources to improve conversion rates and marketing effectiveness.
• Coordinate with medical and administrative teams to ensure smooth referral patient experience.
• Conduct outreach activities with local doctors, nursing homes, and diagnostic centers to strengthen referral network.
• Ensuring compliance with hospital policies, NABH guidelines, and statutory requirements.

Legal Licenses & Compliance Responsibilities

• Coordination and follow-up for hospital legal licenses, registrations, and renewals.
• Handling documentation related to government approvals and regulatory compliance.
• Liaison with government departments and healthcare authorities for licensing work.
• Maintaining records of licenses, empanelments, and compliance documents.

Government Scheme Billing Documentation & Verification Claim Processing Hospital Coordination Audit & Compliance

• Handle billing under government health schemes (e.g., Ayushman Bharat, state health insurance schemes, CGHS, ECHS, etc.)
• Ensure correct application of package rates as per government norms
• Maintain updated knowledge of scheme guidelines and revisions
• Verify patient eligibility under government schemes
• Collect and maintain all required documents for claim submission
• Ensure completeness of discharge summaries, prescriptions, investigation reports, and approvals
• Prepare and submit insurance/government claims within timelines
• Coordinate with TPA/government portal for claim approvals
• Follow up for claim status, rejections, and resubmissions
• Coordinate with billing, IPD/OPD, pharmacy, lab, and medical records departments
• Ensure smooth patient admission-to-discharge billing flow under government schemes
• Ensure compliance with government audit requirements
• Assist in internal and external audits related to billing and claims
• Maintain records for inspection and verification