RCI Finance Analyst (PHIC) (Start ASAP)

Uc Bcf; Mandaluyong; On-site; PHP 279,000 - 390,600; Full time

Job summary

A healthcare company in Mandaluyong seeks a PhilHealth Claims Processing Assistant to manage claims and ensure compliance. The ideal candidate holds a Bachelor's degree in Accounting or related fields, has proficiency in Microsoft Office, and strong attention to detail. Responsibilities include processing claims, reviewing documents, and collaborating with the team to ensure accurate submissions. Join a dynamic environment where accuracy and organizational skills are paramount.

Qualifications

• Bachelor's degree in a relevant field required.
• Proficiency in Microsoft Office applications including Word, Excel, and PowerPoint.
• Familiarity with hospital billing software is an advantage.
• Strong administrative abilities and organizational skills are essential.

Responsibilities

• Schedule and receive PhilHealth claims from Renal Clinic branches.
• Review documents for completeness and accuracy.
• Determine patient benefit coverage and monitor claims submissions.
• Collaborate with Accounts Receivable Analyst for quality monitoring.
• Update monitoring reports and maintain necessary files.
• Stay informed about PhilHealth updates.

Skills

Microsoft Office applications

Hospital billing software

Attention to detail

Effective communication

Organizational skills

Education

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

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.