Benefits Coordinator

3 days ago

Santa Cruz P, Philippines Metropolitan Medical Center Full time ₱208,500 - ₱251,200 per year

JOB SUMMARY:

The Z-Benefits Coordinator is responsible for overseeing and coordinating all activities related to PhilHealth's Z-Benefits Package. This role ensures that eligible beneficiaries receive the appropriate services and benefits efficiently and in accordance with PhilHealth policies and guidelines.

CLINICAL RESPONSIBILITIES:

  • Oversee the implementation of the Z-Benefits Package, ensuring that all procedures, documentation, and eligibility requirements are properly followed for qualified beneficiaries.
  • Verify the eligibility of members and dependents for the Z-Benefits Package, ensuring accurate and timely submission of all required documents for claim processing.
  • Assist in the preparation and processing of Z-Benefit claims, confirming that all documentation is complete and compliant with PhilHealth requirements.
  • Monitor the progress and status of claims to ensure timely disbursement of benefits.
  • Serve as the primary point of contact between PhilHealth, healthcare providers, and members for all matters concerning the Z-Benefits Package.
  • Address inquiries and provide guidance to members, healthcare facilities, and other stakeholders regarding program procedures and requirements.
  • Maintain accurate and up-to-date records of claims, beneficiaries, and related documentation.
  • Prepare and submit regular reports on the implementation and performance of the Z-Benefits Program, highlighting key metrics, challenges, and resolutions.
  • Ensure full compliance with PhilHealth policies, standard operating procedures, and the Z-Benefits program guidelines.
  • Identify opportunities for process improvement and contribute to the enhancement of systems and workflows to improve service delivery.
  • Conduct training and provide support to internal teams, healthcare providers, and other stakeholders to ensure proper understanding and execution of Z-Benefits processes.
  • Organize and maintain Z-Benefits data, including claims, eligibility information, and beneficiary records, ensuring data integrity and confidentiality.
  • Investigate and resolve issues encountered during claim processing or eligibility verification, collaborating with relevant teams to ensure smooth and efficient operations.

JOB SPECIFICATIONS:

  • Bachelor's degree in Health Administration, Public Health, or a related field.
  • Minimum of 1–2 years of experience in health insurance, benefits administration, or healthcare coordination.
  • Prior experience with PhilHealth programs or similar benefit systems is preferred.
  • Strong understanding of PhilHealth Z-Benefits Program policies, procedures, and guidelines.
  • Excellent communication and interpersonal skills.
  • Highly detail-oriented, with strong organizational and time management abilities.
  • Proficient in Microsoft Office applications and familiar with healthcare management systems.
  • Ability to manage multiple priorities in a fast-paced work environment.
  • Knowledge of Philippine healthcare regulations and standards.

Job Type: Full-time

Pay: From Php20,850.00 per month

Work Location: In person

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