Renal Clinic Claims Processor
4 days ago
Job Title: Renal Clinic Claims Processor
Job SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining compliance with all relevant regulations.
Key Responsibilities- Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
- Review each document for completeness and accuracy, analyzing any variances in accordance with PhilHealth policies.
- Determine patient benefit coverage and ensure utilization does not exceed available benefits.
- Verify that the number of claims submitted aligns with the 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.
- Bachelor's degree in Accounting, Business Administration, Finance, or a related field.
- Proficient 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 role offers a challenging and rewarding opportunity to work in a dynamic team environment. The successful candidate will have the opportunity to develop their skills and knowledge in claims processing and contribute to the success of our organization.
How to ApplyTo apply for this exciting opportunity, please submit your application through our online portal. We look forward to receiving your application and learning more about your qualifications and experience.
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