We are seeking a detail-oriented and proactive PhilHealth Claims Processing Assistant to join our healthcare administration team. The successful candidate will be responsible for managing administrative and clerical tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining compliance with all relevant regulations.
DUTIES AND RESPONSIBILITIES
Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
Review each document for completeness and accuracy, analyzing any variances in accordance with PhilHealth policies.
Determine patient benefit coverage and ensure utilization does not exceed available benefits.
Verify that the number of claims submitted aligns with the 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.
QUALIFICATIONS
Educational Background:
Bachelor's degree in Accounting, Business Administration, Finance, or a related field. Jooble
Technical Skills:
Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint.
Familiarity with hospital billing software and electronic claims systems is an advantage.
Administrative and Organizational Skills:
Strong administrative abilities with excellent organizational skills.
High degree of accuracy and attention to detail in handling documents and data.
Additional Qualifications:
Knowledge of PhilHealth policies and procedures is preferred.
Effective communication and interpersonal skills.
Ability to work independently and collaboratively in a team environment.
In line with its vision to provide customers Trusted Quality Healthcare and delivering better value to its partners and customers, United Laboratories (UNILAB), the leading Pharmaceutical company in the Philippines and South East Asia, established RelianceUnited.
RelianceUnited's mission is to deliver simpler and better outpatient healthcare solutions.
RelianceUnited is a holding company of the following subsidiaries:
HealthFirst Clinic - A growing network of premier multi-specialty clinics offering convenient and quality out-patient health care services from pre-employment services, annual physical check-ups, executive health packages, dental services, to a comprehensive Women’s Health Center, An ambulatory surgical center that can do various outpatient procedures and Dialysis Centers.
Flexicare - A health benefit management company which has close to 20 years’ worth of experience in managing healthcare benefits as well as providing comprehensive industrial clinic services.
ActiveOne Health - A leading corporate clinic and wellness services management company in the Philippines, ActiveOne has been dedicated to offering premium health services to premium institutions.
