Claims Associate
6 days ago
DUTIES AND RESPONSIBILITIES:
- Does quality checks of all Philhealth Forms, ensuring that all signatories have affixed their signature and that final diagnoses and CF4 matches.
- Acts as intermediary between the hospital and Philhealth; will have to deal with patient concerns regarding their Philhealth benefit and/or membership.
- Guides the PHIC Receiving team on the corresponding case rates to apply to patients' bills.
- Ensures that the correct ICD10 and RVS Codes are used in all claims.
EDUCATIONAL BACKGROUND QUALIFICATIONS:
- Must have a Bachelor's Degree in any course, preferably medical-related
- Good communication skills—can effectively communicate to customers and management.
- Excellent analytical and math skills
- Must have extensive knowledge in hospital operations
- Must have extensive knowledge in Philhealth policies and operations as pertaining to hospitals
Job Types: Full-time, Permanent
Benefits:
- Company events
- Free parking
- Staff meals provided
Work Location: In person
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