PhilHealth Staff

Nephro Specialist; Compostela; On-site; PHP 201,000 - 290,000; Full time

Job summary

Nephro Specialist Inc. is seeking a detail-oriented PhilHealth Staff to join our team in Cebu. The ideal candidate will process and monitor PhilHealth claims, ensure accurate patient records, and coordinate with PhilHealth and other departments to move claims forward.

Strong communication, organizational skills, and proficiency in Microsoft Office are essential. The role requires confidentiality, the ability to work independently, and the ability to collaborate with a team to deliver quality

Qualifications

• Bachelor's degree in any related field.
• Experience in PhilHealth processing, hospital/clinic billing, or healthcare administration is an advantage.
• Knowledge of PhilHealth policies, claims, and documentation.
• Good communication and organizational skills.
• Proficient in Microsoft Office.
• Detail-oriented and able to handle confidential information.
• Can work independently and as part of a team.

Responsibilities

• Process and monitor PhilHealth claims and related documents.
• Ensure completeness and accuracy of patient records and requirements.
• Coordinate with PhilHealth and other departments regarding claims.
• Monitor claim status and follow up on pending or returned claims.
• Maintain organized records and reports.
• Assist patients and staff with PhilHealth-related concerns.
• Ensure compliance with applicable PhilHealth policies and procedures.

Skills

Communication

Organizational skills

MS Office

Detail-oriented

Confidentiality

Teamwork

Independence

Education

Bachelor's degree

Tools

Microsoft Office

Job description

About the role

We are looking for a detail-oriented, responsible, and organized PhilHealth Staff to join our team.

Key responsibilities

• Process and monitor PhilHealth claims and related documents


• Ensure completeness and accuracy of patient records and requirements


• Coordinate with PhilHealth and other departments regarding claims


• Monitor claim status and follow up on pending or returned claims


• Maintain organized records and reports


• Assist patients and staff with PhilHealth-related concerns


• Ensure compliance with applicable PhilHealth policies and procedures

About you

• Bachelor's degree in any related field


• Experience in PhilHealth processing, hospital/clinic billing, or healthcare administration is an advantage


• Knowledge of PhilHealth policies, claims, and documentation


• Good communication and organizational skills


• Proficient in Microsoft Office


• Detail-oriented and able to handle confidential information


• Can work independently and as part of a team

About us

Nephro Specialist Inc. is committed to providing quality healthcare services.