PHILHEALTH STAFF

St. Camillus Medical Center; Pasig; Presencial; PHP 201.000 - 312.000; Jornada completa

Descripción de la vacante

St. Camillus Medical Center is seeking a PhilHealth Staff in the Philippines to support the daily operations of PhilHealth-related administrative tasks.

The role focuses on assisting members with inquiries, guiding them through benefits, filing claims, and ensuring accurate processing of claims from accredited providers. The candidate will maintain member data and documentation, update records, and prepare regular reports related to membership, claims, and payments while coordinating with the

Responsabilidades

• Address inquiries and concerns regarding PhilHealth coverage, benefits, and claims.
• Guide members through the process of availing benefits, filing claims, and understanding insurance policies.
• Assist in processing claims from accredited health care providers.
• Verify claim documents for completeness and accuracy.
• Collaborate with claims examiners to facilitate the timely and accurate processing of claims.
• Maintain accurate records of member data and transactions in the PhilHealth database.
• Ensure proper filing and documentation of all membership, claims, and administrative files.
• Update member records as needed, including changes in personal information, dependents, or employment status.
• Prepare and submit regular reports related to membership, claims, and payments.
• Collaborate with other departments, such as the Claims and Benefits Department, to address member and provider concerns.

Descripción del empleo

About the role

The PhilHealth Staff is responsible for assisting in the overall operations of the Philippine Health Insurance Corporation (PhilHealth). This role involves supporting various administrative, customer service, and health insurance-related tasks to ensure efficient service delivery to members and stakeholders. The PhilHealth staff must ensure compliance with policies and contribute to the promotion of the National Health Insurance Program.

Key responsibilities

• Address inquiries and concerns regarding PhilHealth coverage, benefits, and claims.

• Guide members through the process of availing benefits, filing claims, and understanding insurance policies.

• Assist in processing claims from accredited health care providers.

• Verify claim documents for completeness and accuracy.

• Collaborate with claims examiners to facilitate the timely and accurate processing of claims.

• Maintain accurate records of member data and transactions in the PhilHealth database.

• Ensure proper filing and documentation of all membership, claims, and administrative files.

• Update member records as needed, including changes in personal information, dependents, or employment status.

• Prepare and submit regular reports related to membership, claims, and payments.

• Collaborate with other departments, such as the Claims and Benefits Department, to address member and provider concerns.