RCI Finance Analyst (PHIC) (Start ASAP)

Stfrancis; Hinoba-an; On-site; PHP 201,000 - 290,000; Full time

Job summary

Stfrancis is seeking a PhilHealth Claims Processing Assistant to join our healthcare administration team in the Renal Clinic network in the Philippines. You will manage claims processing, verify completeness, analyze variances, and ensure compliance with PhilHealth policies.

You will collaborate with the Accounts Receivable Analyst and Team Lead to monitor claims, update reports, and stay informed about PhilHealth updates. Strong detail orientation and MS Office proficiency are essential.

Qualifications

• Bachelor's degree in Accounting, Business Administration, Finance, or a related field.
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint).
• Familiarity with hospital billing software and electronic claims systems.
• Strong administrative abilities with excellent organizational skills.
• High degree of accuracy and attention to detail in handling documents and data.
• Knowledge of PhilHealth policies and procedures preferred.
• Effective communication and interpersonal skills; ability to work independently and in a team.

Responsibilities

• Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
• Review documents for completeness and accuracy, analyzing variances per PhilHealth policies.
• Determine patient benefit coverage and ensure utilization does not exceed available benefits.
• Verify that the number of claims submitted aligns with transactions reported in financial reports.
• Collaborate with the Accounts Receivable Analyst and Team Lead to ensure quality monitoring and timely submission.
• Update monitoring reports and maintain files necessary for claims filing and other administrative tasks.
• Stay informed about updates and circulars related to hemodialysis by checking PhilHealth website.

Skills

Attention to detail

Administrative skills

Communication skills

Team collaboration

Education

Bachelor's degree in Accounting, Business Administration, Finance, or related field

Tools

Microsoft Office

Hospital billing software

Job description

Join our healthcare administration team as a PhilHealth Claims Processing Assistant managing claims processing and ensuring compliance.

Your Role

Here’s what you will be doing:

• Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
• Review each document for completeness and accuracy, analyzing variances per PhilHealth policies.
• Determine patient benefit coverage and ensure utilization does not exceed available benefits.
• Verify that the number of claims submitted aligns with transactions reported in financial reports.
• Collaborate regularly with the Accounts Receivable Analyst and Team Lead to ensure quality monitoring and timely submission of PhilHealth claims.
• Update monitoring reports and maintain files necessary for claims filing and other administrative tasks.
• Stay informed about updates and circulars related to hemodialysis by regularly checking the PhilHealth website.

About You

The company is looking for:

• Bachelor's degree in Accounting, Business Administration, Finance, or a related field.
• Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint.
• Familiarity with hospital billing software and electronic claims systems is an advantage.
• Strong administrative abilities with excellent organizational skills.
• High degree of accuracy and attention to detail in handling documents and data.
• Knowledge of PhilHealth policies and procedures is preferred.
• Effective communication and interpersonal skills.
• Ability to work independently and collaboratively in a team environment.

This job may close before the stated closing date, you are encouraged to apply as soon as possible