Junior PhilHealth Claims Specialist

Golden Renal Care Holdings Inc.; Cainta; On-site; PHP 250,000 - 350,000; Full time

Job summary

Golden Renal Care Holdings Inc. seeks a Junior PhilHealth Claims Officer to assist in the preparation, submission, and monitoring of PhilHealth claims for dialysis patients.

You will ensure accurate documentation, comply with PhilHealth requirements, and support timely processing to contribute to the center’s revenue cycle. Collaborate with the Billing team and clinical staff to reconcile reimbursements, maintain secure records, and stay updated on PhilHealth circulars.

Qualifications

• Bachelor’s degree required in accounting, business admin, nursing, or related healthcare field.
• 1–2 years of experience in claims processing or healthcare billing (PhilHealth experience preferred).
• Proficiency in MS Office and healthcare billing systems.

Responsibilities

• Prepare PhilHealth claims with patient data, treatment logs, and supporting documents.
• Monitor submitted claims and follow up on status and denials.
• Ensure compliance with PhilHealth guidelines and dialysis-specific requirements.
• Coordinate with Billing, AR, and clinical staff to reconcile reimbursements and documentation.

Education

Bachelor’s degree in Accounting, Business Administration, Nursing, or related healthcare field

Tools

MS Office

Healthcare billing systems

Job description

Golden Renal Care Holdings Inc. seeks a Junior PhilHealth Claims Officer to assist in the preparation, submission, and monitoring of PhilHealth claims for dialysis patients.

You will ensure accurate documentation, comply with PhilHealth requirements, and support timely processing to contribute to the center’s revenue cycle. Collaborate with the Billing team and clinical staff to reconcile reimbursements, maintain secure records, and stay updated on PhilHealth circulars.