PhilHealth Claims Specialist - Eye Clinic | San Juan

Ophthalmological Foundation Of The Phils., Inc; Batan; Presencial; PHP 250.000 - 420.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Life insurance

On-site parking

Paid training

Bonuses upon regularization

Additional leave

Promotion to permanent employee

Descripción de la vacante

The Ophthalmological Foundation Of The Phils., Inc is seeking a PhilHealth Staff to support an ambulatory eye clinic in San Juan City. You will process and record patients’ reimbursement claims with PhilHealth, review PHIC documents for accuracy, and attach them to E-Claims.

You will also review encoded data before transmitting to the online portal, notify staff of RTH/Denied notices, and maintain PHIC databases with regular progress reports.

Formación

• Must have college degree.
• Proven knowledge in MS Office applications.
• Familiar with PhilHealth processes and E-Claims.
• Familiar with ICD-10 code
• Willing to work in San Juan City.

Responsabilidades

• Review PHIC documents for accuracy and completeness.
• Attach patient PHIC documents to E-Claims.
• Review encoded data in E-claims before submission.
• Notify RTH/Denied notices to appropriate personnel and re-file denied claims.
• Maintain PHIC database/tracker and submit progress reports.

Conocimientos

MS Office

Attention to detail

Communication

Time management

Teamwork

Problem solving

Customer service

Educación

College degree

Herramientas

ICD-10 knowledge

Descripción del empleo

The Ophthalmological Foundation Of The Phils., Inc is seeking a PhilHealth Staff to support an ambulatory eye clinic in San Juan City. You will process and record patients’ reimbursement claims with PhilHealth, review PHIC documents for accuracy, and attach them to E-Claims.

You will also review encoded data before transmitting to the online portal, notify staff of RTH/Denied notices, and maintain PHIC databases with regular progress reports.