PhilHealth Claims Specialist – Onsite

Medicover Inc.; Marilao; On-site; PHP 279,000 - 424,000; Full time

Job summary

Medicover Inc. is seeking a reliable PhilHealth Assistant to support PhilHealth transactions at the Dialysis Center. You will ensure accurate documentation, timely claims submission, and coordination with patients and departments on PhilHealth requirements.

The role requires a Bachelor’s degree and familiarity with PhilHealth policies; on-site work is expected and strong MS Office skills are preferred.

Qualifications

• Bachelor’s degree in business, healthcare, or related field.
• Experience in PhilHealth processing, billing, or healthcare administration is an advantage.
• Knowledge of PhilHealth policies and claims processing preferred.
• Proficient in Word and Excel.
• Detail-oriented and organized with documentation.
• Good communication and interpersonal skills.
• Willing to work onsite.
• Ability to work under pressure and meet deadlines.

Responsibilities

• Process and monitor PhilHealth claims and documents.
• Verify patient records and ensure complete requirements.
• Coordinate with patients on PhilHealth concerns.
• Maintain records and reports of PhilHealth transactions.
• Coordinate with departments on billing and claims.
• Ensure timely submission of documents per guidelines.
• Handle patient inquiries about PhilHealth benefits.
• Perform other administrative tasks as needed.

Skills

Communication skills

Attention to detail

Time management

Teamwork

Education

Bachelor's degree in Business/Healthcare or related

Tools

Microsoft Office (Word, Excel)

Job description

Medicover Inc. is seeking a reliable PhilHealth Assistant to support PhilHealth transactions at the Dialysis Center. You will ensure accurate documentation, timely claims submission, and coordination with patients and departments on PhilHealth requirements.

The role requires a Bachelor’s degree and familiarity with PhilHealth policies; on-site work is expected and strong MS Office skills are preferred.