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philhealth/billing officer

3 months ago

San Fernando, Central Luzon, Philippines CENTRAL LUZON INTEGRATED ONCOLOGY CENTRE Full time

PHILHEALTH OFFICER

Prepares final billing statement of patients and ensures the accuracy of details entered into the systemSafekeeping and maintenance of patient files and documentationResponsible for checking the eligibility of member/patient to HCI PortalPreparation of General Philhealth Benefit Eligibility Form for every Philhealth transaction (PBEF)Review and checks documents submitted by the patient/relativesCalculates and deducts Philhealth allowable benefit based on Philhealth Case ratesCoordinates with teams for deduction and printing of Final Statement of AccountConduct interview as to any previous treatment on which they avail benefits from Philhealth and calling other hospital to check usage of Philhealth member/patientHandles queries and follow up question from patients and resolve discrepancies or errors with regards Philhealth matterRespond to any inquiries regarding Philhealth mattersContributes to process improvement initiatives to enhance Philhealth efficiency and accuracy Other tasks may be assigned from time to timeBILLING OFFICEREnsures that all patients are charged properly and cash-paying patients are collected within the dayReview and calculates charges and professional fees to ensure the amount are accurateApplies and post the Guarantee as stated in the approved guarantee letter submitted by the patients and posting of Promissory note approved Collaborate with Philhealth, Social Welfare, attending Physicians to resolve issues regarding issues with billings/charges and PF'sRespond to queries from patients/relatives Handles queries and follow up question from patients and resolve discrepancies or errorsAssists in resolving any billing disputes in timely mannerCan be assigned to other roles within the business office, if necessaryPrepares report for all the CT Planning and treatment planning done within the dayIdentifying and resolving discrepancies Contributes to process improvement initiatives to enhance billing efficiency and accuracy Other tasks may be assigned from time to time