Healthcare Benefit Section Head

3 weeks ago

Cebu City, Central Visayas, Philippines SPC MEDICAL CENTER Full time
Overview

Healthcare Benefit Section Head – San Pablo Colleges Medical Center, San Pablo City, Laguna

About the Job: We are looking for a dedicated and detail-oriented Healthcare Benefit Section Head to oversee and manage the daily operations of our Healthcare Benefit Section. The successful candidate will ensure efficient PhilHealth claim processing, monitor staff performance, enforce policies, and implement strategic plans to meet organizational goals.

Key Responsibilities
  • Supervise daily operations of the section, including personnel activities and claims monitoring.
  • Review staff competency and implement development programs.
  • Arrange work schedules for the team.
  • Oversee final checking and submission of PhilHealth claims for both in-patient and out-patient cases.
  • Ensure accuracy of attached documents and maintain proper filing to PHIC.
  • Coordinate with PhilHealth regarding claim processing, payments, and updated circulars.
  • Facilitate orientation for new staff, including routine tasks and quality processes.
  • Prepare internal and external communication related to PHIC issues.
  • Monitor key performance indicators and implement strategic plans.
  • Attend PhilHealth-related seminars, trainings, and symposiums.
  • Implement and monitor quality management systems in the section.
  • Submit quality reports, tabulations, and performance evaluations.
  • Disseminate newly approved documents from Quality Management.
  • Review and monitor advisories and circulars from PhilHealth.
  • Perform other duties assigned by the superior.
Qualifications
  • Bachelor's degree in Management, Business, or equivalent.
  • Preferably knowledgeable in PhilHealth processes.
  • Strong oral and written communication skills.
  • Willing to attend seminars and trainings.
  • Quick thinker with clear decision-making skills.
  • Capable of enforcing policies and procedures.
  • Good moral character; dependable, responsible, and loyal.
  • Proficient in computer applications.
  • Able to work with minimal supervision.
  • Open to new challenges and continuous learning (including ICD-10 and related certifications).
Why Join Us?

At SPC Medical Center, you will be part of a team committed to quality healthcare service and continuous improvement. This is a great opportunity to take on a leadership role that directly impacts patient care and operational efficiency.

Location: Maharlika Highway, Brgy. San Rafael, San Pablo City, Laguna

Apply now and be part of our mission to provide quality healthcare services


#J-18808-Ljbffr

  • Section Head

    4 weeks ago

    Cebu City, Central Visayas, Philippines RCBC Full time

    Job SummaryResponsible for the supervision and management of the Remedial Account Officers, Specialists and motorized Collectors of PLC Visayas (Cebu, Bacolod and Iloilo) tasked to provide timely resolution of assigned and endorsed past due Auto and Housing Loans through the approved field collection activities and strategies with the goal of achieving the...

  • Section Head of Quality Assurance

    2 weeks ago

    Iloilo City, Western Visayas, Philippines beBeeEngineering Full time ₱1,500,000 - ₱2,500,000

    Job Title: Section Head of Quality AssuranceThis is a leadership role in our organization responsible for overseeing the Quality Control Section. The team's primary responsibilities include standardization, quality assurance of materials and construction, and documentation management.Key Responsibilities:Provide strategic direction to the Quality Control...

  • Quality Control Section Head

    2 weeks ago

    Iloilo City, Western Visayas, Philippines Metro Pacific Iloilo Water Full time

    Job Summary Provides general direction to the Quality Control Section, which is responsible for standardization, quality assurance of materials and construction, and documentation management. Ensures that all projects and daily operations meet the standard and quality assurance requirements. Qualifications BS Civil / Mechanical Engineering Must be a licensed...

  • Quality Control Section Head

    2 weeks ago

    Iloilo City, Western Visayas, Philippines Metro Pacific Iloilo Water Full time

    Job SummaryProvides general direction to the Quality Control Section, which is responsible for standardization, quality assurance of materials and construction, and documentation management. Ensures that all projects and daily operations meet the standard and quality assurance requirements.QualificationsBS Civil / Mechanical EngineeringMust be a licensed...

  • Design and Costing Section Head

    3 weeks ago

    Iloilo City, Western Visayas, Philippines Metro Pacific Iloilo Water Full time

    Job SummaryProvides general direction to the Design and Costing Section, which is responsible for the design, standardization, quality assurance, cost estimates, ballpark figures, and other technical detail needed during bidding and project implementation.QualificationsBS Civil / Mechanical Engineering; Must be a licensed EngineerAt least five (5) years of...

  • Healthcare Case Manager

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeReview Full time ₱180,000 - ₱250,000

    Medical File Reviewer/PHRN Job DescriptionThis role involves preparing case files and Disability Benefits Questionnaires (DBQs) assigned through a client portal.Prepares case files and DBQs for review and completion.Reviews medical records, bookmarks key information, and creates a synopsis to answer medical opinion questions based on the veteran's medical...

  • Store Head

    2 weeks ago

    Cebu City, Central Visayas, Philippines Waltemart Supermarket Inc. Full time

    OverviewAs a Store Head position is responsible for overseeing the daily operations, making sure it runs smoothly and effectively. The duties include motivating the team with great customer service as well as developing business strategies that will help them achieve success in a competitive marketplace.ResponsibilitiesEnsures that policies and standards are...

  • Healthcare Support Specialist

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeAdministrative Full time ₱1,800,000 - ₱2,500,000

    Are you a highly organized and detail-oriented professional looking for a new challenge?Job Description:We are seeking an exceptional Administrative Assistant to join our healthcare team. As a key member of our team, you will be responsible for managing administrative tasks, ensuring accurate patient records, and providing top-notch support to our healthcare...

  • Healthcare Associate/Representative

    3 weeks ago

    Cebu City, Central Visayas, Philippines HR TechX Corp. Full time

    OverviewJoin to apply for the Healthcare Associate/Representative (CSR) role at HR TechX Corp.We are seeking a detail-oriented and customer-focused Healthcare Associate/Representative (CSR) with prior healthcare insurance experience, specializing in billing and enrollment. The role involves assisting members and providers with inquiries, processing...

  • Healthcare Professional Opportunity

    2 weeks ago

    Cebu City, Central Visayas, Philippines beBeeHealthcare Full time ₱144,090 - ₱213,215

    Healthcare Specialist Role Job Summary: We are seeking a highly skilled and dedicated individual to join our team as a Healthcare Specialist. Responsibilities: As a key member of our team, the ideal candidate will be responsible for making outbound calls to healthcare providers and accepting inbound calls to answer questions about participation requirements,...