Billing and Benefits Assistant

1 day ago

General Trias, Calabarzon, Philippines Divine Grace Medical Center Full time $30,000 - $50,000 per year

Education : Graduate of any four-year course in Business Administration.

Experience : At least one (1) year of related work experience

DUTIES AND RESPONSIBILITIES :

  • Performs job functions consistent with the vision and mission statements and the core values of the hospital.
  • Carries out clerical duties such as typing, editing, reproducing, scanning, etc.
  • Implements all written policies and procedures that govern the Billing and Benefits Processing Unit.
  • Checks Eligibility of Philippine Health Insurance Corporation (PHIC) Members; updates and registers members or dependent's data thru sending informations and documents to PHIC thru email.
  • Facilitates daily room charging of currently admitted patients.
  • Attends queries, explains PHIC requirements and checks all submitted requirements prior to discharge; deducts applicable case rates.
  • Computes and updates running balances of admitted patients; provides and explains daily running bill to patient/relative and collects excess from maximum ceiling; facilitates Cash Basis for non-payment of excess.
  • Assists all inquiries of HMO Liaison officers regarding their admitted patients.
  • Turns-over generated bill to the Billing and Benefits Unit Lead for checking if all critical items (miscellaneous charges, PF of doctors, discounts, PHIC deduction etc.) are properly accomplished.
  • Tags admitted patient's account on Cash Basis if payment is not received within the prescribed period for exceeding balance limit.
  • Calls or sends messages to all the attending Doctors of all May-Go-Home patients regarding their Professional Fees.
  • Coordinates with accredited TPP regarding final coverage of eligible members;
  • Generates billing statements for individual patients and those who were extended services on the basis of TPP guarantees.
  • Reviews statements of accounts prior to releasing to patient/relative and prior to turnover to Claims Processing Unit.
  • Issues discharge clearance if the patient's bill is fully covered by a letter of guarantee received from accredited TPP.
  • Computes and post charges for administrative fees on implants; turns over original invoice to Accounting Department for processing of payments to supplier.
  • Requests and completes requirements for patient's (inpatients and out-patients with OR) refund.
  • Attends training programs and learning sessions for the enhancement of professional, technical, and personal proficiencies.
  • Maintains comprehensive knowledge of quality management systems (QMS) principles and practices while actively participating in all QMS-related activities, including audits, training sessions, and seminars, to contribute to continuous improvement initiatives.
  • Performs such other duties and responsibilities analogous, germane or related to and/or implied from the above enumeration of duties and responsibilities.

Job Types: Full-time, Permanent

Benefits:

  • Employee discount
  • Free parking
  • On-site parking
  • Paid training
  • Staff meals provided

Work Location: In person

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