RCI Finance Analyst (PHIC) (Start ASAP)

Centro Escolar University; Mandaluyong; On-site; PHP 279,000 - 390,600; Full time

Job summary

A leading educational institution in Metro Manila is seeking a PhilHealth Claims Processing Assistant. Your role involves managing claims, ensuring compliance with PhilHealth policies, and maintaining accurate records. Ideal candidates should have a Bachelor's degree in a relevant field and proficiency in Microsoft Office applications. Strong attention to detail and effective communication skills are essential for this role. Apply promptly as the job may close early.

Qualifications

• Proficiency in Microsoft Office applications like Word, Excel, and PowerPoint.
• Knowledge of PhilHealth policies and procedures is preferred.
• Ability to work independently and collaboratively in a team.

Responsibilities

• Manage claims processing and ensure compliance.
• Review documents for completeness and accuracy.
• Stay informed about updates related to hemodialysis.

Skills

Microsoft Office proficiency

Strong organizational skills

Effective communication

Attention to detail

Education

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

Tools

Hospital billing software

Electronic claims systems

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.