Medical Claims Specialist

5 days ago


Tacloban City, Eastern Visayas, Philippines United Shalom Hospital Full time
Job Summary: United Shalom Hospital seeks a detail-oriented and organized Medical Claims Specialist to join our team. The successful candidate will be responsible for processing claims, administering benefits, and ensuring compliance with PhilHealth policies.

About Us: As a leading healthcare provider, United Shalom Hospital is committed to delivering exceptional patient care and service excellence. We value teamwork, innovation, and continuous learning.

Responsibilities:
  • Process and manage medical claims efficiently and effectively.
  • Administer benefits to patients, ensuring timely and accurate payments.
  • Maintain knowledge of PhilHealth policies, guidelines, and benefit packages.
  • Collaborate with cross-functional teams to resolve claims-related issues.
  • Familiarize yourself with MS Office (Word, Excel) and PhilHealth e-claims or Electronic Data Interchange (EDI) Systems.

Requirements:
  • Bachelor's degree in Business Administration, Healthcare Administration, Accounting, or related field.
  • At least 1 year of experience in claims processing, benefits administration, or healthcare-related work.
  • Prior experience in handling PhilHealth transactions is an advantage.

What We Offer:
  • Competitive salary range: PHP 40,000 - 60,000 per month.
  • Opportunities for professional growth and development.
  • A dynamic and supportive work environment.

How to Apply: If you are a motivated and detail-oriented individual who is passionate about delivering exceptional patient care, please submit your application.

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