PhilHealth Claims Analyst — Healthcare Admin

ActiveOne Health, Inc.; Mandaluyong; On-site; PHP 335,000 - 469,000; Full time

Job summary

ActiveOne Health, Inc. is seeking a detail-oriented PhilHealth Claims Processing Assistant to join our healthcare administration team in Metro Manila.

The successful candidate will manage administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims and compliance with regulations. The ideal candidate holds a Bachelor's degree in Accounting/Finance or related field, demonstrates strong MS Office skills, and is familiar with hospital billing

Qualifications

• Bachelor's degree in Accounting, Business Administration, Finance, or a related field.
• Proficient in Microsoft Office applications (Word, Excel, PowerPoint). Familiarity with hospital billing software is an advantage.
• Strong administrative abilities with excellent organizational skills.
• Knowledge of PhilHealth policies and procedures is preferred.
• Effective communication and interpersonal skills; able to work independently and in a team.

Responsibilities

• Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
• Review documents for completeness and accuracy per PhilHealth policies.
• Determine patient benefit coverage and ensure utilization stays within benefits.
• Verify claims submitted align with financial reports.
• Collaborate with Accounts Receivable Analyst and Team Lead for timely submissions.
• Update monitoring reports and maintain files for claims filing and admin tasks.
• Stay informed about PhilHealth updates and circulars by checking their website.

Skills

Microsoft Office

Administrative skills

Attention to detail

Communication skills

Independent work

Education

Bachelor's degree in Accounting, Business Administration, Finance, or related field

Tools

Hospital billing software

Job description

ActiveOne Health, Inc. is seeking a detail-oriented PhilHealth Claims Processing Assistant to join our healthcare administration team in Metro Manila.

The successful candidate will manage administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims and compliance with regulations. The ideal candidate holds a Bachelor's degree in Accounting/Finance or related field, demonstrates strong MS Office skills, and is familiar with hospital billing