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 Phi...