Claims Associate

6 days ago


LapuLapu City, Central Visayas, Philippines Optimal Health Medical Services Incorporated Full time

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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