Job Description

Join our healthcare administration team as a PhilHealth Claims Processing Assistant managing claims processing and ensuring compliance.

Your Role

Here’s 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

#J-18808-Ljbffr

Apply for this Position

Ready to join ? Click the button below to submit your application.

Submit Application