Join our healthcare administration team as a Phil Health Claims Processing Assistant managing claims processing and ensuring compliance.
Your Role
Here’s what you will be doing:
Schedule and receive Phil Health claims and related documents from Renal Clinic branches.
Review each document for completeness and accuracy, analyzing variances per Phil Health policies.
Determine patient benefit coverage and ensure utilization does not exceed available benefits.
Verify that the number of claims submitted aligns with transactions reported in financial reports.
Collaborate regularly with the Accounts Receivable Analyst and Team Lead to ensure quality monitoring and timely submission of Phil Health claims.
Update monitoring reports and maintain files necessary for claims filing and other administrative tasks.
Stay informed about updates and circulars related to hemodialysis by regularly checking the Phil Health website.
About You
The company is looking for:
Bachelor's degree in Accounting, Business Administration, Finance, or a related field.
Proficiency in Microsoft Office applications, including Word, Excel, and Power Point.
Familiarity with hospital billing software and electronic claims systems is an advantage.
Strong administrative abilities with excellent organizational skills.
High degree of accuracy and attention to detail in handling documents and data.
Knowledge of Phil Health policies and procedures is preferred.
Effective communication and interpersonal skills.
Ability to work independently and collaboratively in a team environment.
This job may close before the stated closing date, you are encouraged to apply as soon as possible
