Benefits Section Staff

Qualifications:

• Candidate must be a graduate of any 4-year course, medical background an advantage
• Must have at least 1 year related work experience.
• ICD 10 training an advantage.
• Computer literate; can work under pressure.
• Must have good oral and written communication skills.

Job Description:

• Entertains Patient’s inquiries regarding Philhealth
• Computes Philhealth benefits/coverage
• Process Philhealth claims for submission to PHIC
• Prepares transmittal reports
• Maintains ledger for Philhealth claims
• Ensures that all claims are submitted on time to PHIC
• Posts Philhealth payments in the system
• Monitors collection and receivables from PHIC
• Attends Philhealth seminars (as needed)
• Processes Philhealth claims ‘return to hospital’ (RTH)
• Ensures that hospital complies with Philhealth memoranda and circulars
• Drafts budgets for the department.
• Responsible for completion and monitoring of all benchbook requirements pertinent in their section.
• Handles patients complaints regarding Philhealth deduction
• To do other job that may be assigned from time to time by the Admin Officer/ Department Head

Categorised in: Careers

This post was written by unihealthadmin