Admin Staff/ PHILHEALTH Coordinator
Full-time
Dceps Medical Services Co.
Admin Staff / PhilHealth Coordinator – Duties and Responsibilities
PhilHealth Coordination
- Process and submit PhilHealth claims for patients/members.
- Verify PhilHealth membership eligibility and benefits .
- Ensure accuracy and completeness of PhilHealth documents and requirements .
- Coordinate with PhilHealth offices regarding claim status, discrepancies, and updates.
- Monitor and track submitted claims and reimbursements .
Documentation and Records Management
- Maintain organized records of PhilHealth claims, patient files, and billing documents .
- Prepare and update reports related to PhilHealth transactions .
- Ensure compliance with PhilHealth policies and government regulations .
Administrative Support
- Provide general administrative assistance to the office or healthcare facility.
- Handle data entry, filing, scanning, and document preparation .
- Assist with scheduling, correspondence, and office coordination .
Patient/Member Assistance
- Assist patients with PhilHealth requirements and claim procedures .
- Explain benefits, forms, and documentation needed for claims .
- Address patient inquiries related to PhilHealth coverage and processes .
Compliance and Updates
- Stay updated with PhilHealth circulars, policies, and claim procedures .
- Ensure the facility complies with PhilHealth accreditation requirements .
Qualifications
- Bachelor’s degree in Business Administration, Healthcare Administration, or related field .
- Experience in PhilHealth claims processing or hospital administration is an advantage.
- Knowledge of PhilHealth guidelines and documentation .
- Strong organizational, administrative, and communication skills .
- Proficient in MS Office (Excel, Word) and basic office systems.
Vacancy posted a month ago
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