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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 13 hours ago
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