There are departments in Henan Medical Insurance Center.

1, General Department

Job responsibilities:

(1) Coordinate the administrative affairs of the unit to ensure the orderly operation of the work.

(2) Responsible for drafting comprehensive manuscripts such as relevant documents, summaries, reports and leaders' speeches.

(3) Responsible for filing, keeping and reading official documents.

(4) Responsible for signing, planning, conveying, supervising and supervising the implementation of communication.

(5) Responsible for information collection, collation, submission and feedback.

(six) responsible for the handling of the recommendations of the National People's Congress and the CPPCC and the implementation of the matters supervised by the provincial government.

(7) Responsible for meeting organization, daily reception and liaison and coordination of related activities.

(8) Responsible for personnel, labor, letters and visits and statistical analysis.

(9) Responsible for vehicle and file management, printing and logistics support.

(10) Responsible for the procurement and management of office supplies and fixed assets.

(1 1) is responsible for the subscription and publicity of newspapers and periodicals.

(12) Responsible for the business guidance of municipal authorities and the supervision and implementation of annual objectives and tasks.

(13) Complete other tasks assigned by leaders.

2. Planning Finance Section

Job responsibilities:

(1) Prepare the financial budget and final accounts of the unit and the budget and final accounts of the provincial medical insurance fund.

(2) responsible for the accounting of government funds and provincial medical insurance funds.

(3) Responsible for the purchase, collection, storage and verification of all kinds of bills.

(4) Be responsible for the salary distribution of personnel in this unit.

(5) responsible for the preparation of the provincial medical insurance fund payment plan and monthly income and expenditure statements.

(6) Responsible for recording and transferring all kinds of money.

(7) Responsible for the registration, entry and write-off of fixed assets.

(8) Responsible for the financial analysis, forecast and summary report of accounting statements of the medical insurance fund in the whole province.

(9) Complete other tasks assigned by the leaders.

3. Information Management Section

Job responsibilities:

(1) Seriously implement the information system security management system, monitor and optimize the system and data, and ensure the safe and stable operation of the information system.

(2) Responsible for the development, procurement, network planning and transformation of the center application software.

(3) Responsible for the selection, procurement, deployment and management of computers, storage media, external equipment and consumables.

(4) Responsible for computer system data backup, data exchange, system entry and exit, and business system operation authority management.

(5) Responsible for IC card, personal account, data analysis and other related business management.

(6) Responsible for the technical support and maintenance of the charging terminals of designated hospitals and pharmacies.

(7) Complete other tasks assigned by the leaders.

4. Fund Collection Section

Job responsibilities:

(1) is responsible for the qualification examination, registration and entry of the employer and its personnel.

(2) responsible for the change and cancellation of the insured units and their personnel.

(3) Responsible for the transfer, inheritance and withdrawal of medical insurance relationship and personal account.

(4) Responsible for the declaration and audit of payment wages and the audit and entry of payment base.

(5) Responsible for the collection of medical insurance premiums, verification of arrears and reminders.

(6) Responsible for policy consultation, arrears and personal account inquiry of the insured units.

(7) Responsible for feeding back relevant information to relevant departments (offices) and central leaders.

(8) Complete other tasks assigned by the leaders.

5. Medical Management Section

Job responsibilities:

(1) is responsible for reviewing and reimbursing the medical expenses of provincial-level insured persons and settling accounts with "two fixed" units.

(2) Responsible for the inspection and identification of medical institutions and retail pharmacies that have obtained designated qualifications.

(3) Responsible for the supervision, inspection and assessment of the performance of the agreement by the "two fixed" units.

(4) Responsible for formulating measures and methods for medical service management.

(5) Responsible for the review and filing of referral and the examination and approval of treatment items.

(six) responsible for accepting medical service consultation and complaints.

(7) Participate in the formulation and adjustment of medical service items and drug lists.

(8) analyze and study the payment of medical expenses, and determine the monitoring focus in time.

(9) Complete other tasks assigned by the leaders.

6, chronic disease management department

Job responsibilities:

(1) is responsible for the determination and adjustment of outpatient diseases and expense standards for serious and chronic diseases.

(2) To be responsible for the declaration, inspection and determination of the serious and chronic diseases of the insured outpatient service.

(3) responsible for the examination and approval of special examination and treatment in outpatient department of severe chronic diseases.

(4) Responsible for determining the designated hospitals for outpatient treatment of serious chronic diseases.

(5) Responsible for the medical management, expense audit and settlement and related archives management of patients with severe chronic diseases in outpatient department.

(6) Participate in the daily supervision and year-end assessment of designated hospitals by the Center.

(7) Responsible for the audit and settlement of medical expenses for serious and chronic diseases in outpatient clinics of resettlement personnel in different places.

(8) Complete other tasks assigned by the leaders.

7. Medical Services Section

Job responsibilities:

(1) is responsible for the examination and approval registration, change registration, classified statistics and summary analysis of basic data of medical staff.

(2) Responsible for providing excellent diagnosis certificates for medical staff and providing them with medical services.

(3) Responsible for the visits and condolences of hospitalized medical staff.

(4) Responsible for the audit and settlement of medical expenses for medical staff in hospital and medical expenses for outpatient service.

(5) To provide telephone, interview, consultation and other services for medical staff.

(6) cooperate with medical staff to do a good job in the declaration and audit of serious chronic diseases in outpatient department.

(7) Complete other tasks assigned by the leaders.

8. Large insurance companies

Job responsibilities:

(1) Responsible for coordination and business handling among designated medical institutions, commercial insurance companies and insured persons.

(2) Participate in the daily supervision and assessment of designated medical institutions.

(3) responsible for the audit and payment of large medical expenses.

(4) responsible for the medical management of insured patients who enter the scope of large medical expenses supplementary insurance payment.

(5) To be responsible for accepting the consultation and complaint of supplementary insurance for large medical expenses.

(6) Complete other tasks assigned by the leaders.

9. Audit Section

Job responsibilities:

(1) is responsible for drafting and organizing the implementation of the annual audit work plan.

(2) Responsible for maintaining the working order and office environment of the service hall.

(3) Responsible for the implementation of national, provincial and other relevant medical insurance audit objectives and tasks.

(4) Cooperate with audit and fund supervision departments to do a good job in the audit and inspection of medical insurance funds.

(5) Formulate and implement the internal control system of the center.

(6) to be responsible for the business guidance of the audit of the medical insurance handling system in the whole province.

(seven) to cooperate with relevant departments to investigate and supervise cases involving the management of medical insurance funds.

(8) Complete other tasks assigned by the leaders.

10, Business Management Section

Job responsibilities:

(1) Formulate working rules and management measures for handling basic medical insurance for urban residents.

(2) responsible for guiding the basic medical insurance for urban residents in the province.

(3) Organize the exchange of experience and discussion activities on handling the basic medical insurance for urban residents.

(4) responsible for the audit, decomposition and reporting of the basic medical insurance subsidy funds for urban residents.

(5) Complete other tasks assigned by the leaders.

1 1, Ministry of Maternity Insurance

Job responsibilities:

(1) is responsible for the audit and settlement of maternity insurance benefits of the insured.

(2) responsible for the inspection, supervision and annual assessment of designated medical institutions for maternity insurance.

(three) responsible for the collation, filing and storage of maternity insurance related information.

(4) Responsible for accepting policy advice and complaints about maternity insurance.

(5) Complete other tasks assigned by the leaders.