Job Description
Join our healthcare administration team as a PhilHealth Claims Processing Assistant managing claims processing and ensuring compliance.
Your Role
Hereβs what you will be doing:
- Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
- Review each document for completeness and accuracy, analyzing variances per PhilHealth 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 PhilHealth 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 PhilHealth 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 PowerPoint.
- 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 PhilHealth 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
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