Philhealth Staff

Ophthalmological Foundation Of The Phils., Inc; Batan; On-site; PHP 250,000 - 420,000; Full time

Benefits offered by this job

Life insurance

On-site parking

Paid training

Bonuses upon regularization

Additional leave

Promotion to permanent employee

Job summary

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.

Qualifications

• 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.

Responsibilities

• 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.

Skills

MS Office

Attention to detail

Communication

Time management

Teamwork

Problem solving

Customer service

Education

College degree

Tools

ICD-10 knowledge

Job description

OPHTHALMOLOGICAL FOUNDATION OF THE PHILS., INC

QUALIFICATIONS:

Must be a college graduate

Must have proven knowledge in using MS Office applications

Familiar with Philhealth process: Return to hospital, Denied, Deductions etc.

Familiar with ICD 10 code;

Must be willing to work in San Juan City

Must be hardworking; self-motivated; with keen attention to details;

Can work with minimum supervision; with good interpersonal relations

Must be willing to start ASAP.

JOB DESCRIPTION:

The PhilHealth Staff will work in an ambulatory eye clinic setting in San Juan City and will be responsible for processing and recording of patients’ reimbursement claims with Philhealth.

Specifically, the right candidate will do the following tasks:

make a detailed review of the accuracy and completeness of PHIC documents received from patients; accomplish and attach the patient’s PHIC documents to E-Claims

Responsible for reviewing the encoded data in E-claims before transmitting to the designated online portal

Notify the authorized personnel for RTH/ Denied notices received by Phil Health thru electronic (or physical) RTH system & re-file denied claims in a timely manner

Maintain PHIC Database/ Tracker, and submit regular progress reports to supervisor

Submit to Phil Health on a weekly basis the Official Receipt for collections deposited thru Auto credit payment.

Other related tasks that maybe assigned form time to time

Compensation: Attractive Salary with bonuses upon regularization

Additional leave

Life insurance

On-site parking

Opportunities for promotion

Paid training

Promotion to permanent employee

Requirements

Please refer to job description.

Communication Problem Solving Adaptability Time Management Teamwork Attention To Detail Critical Thinking Organization Creativity Customer Service

HR Manager OPHTHALMOLOGICAL FOUNDATION OF THE PHILS., INC