PhilHealth Staff

2 weeks ago

San Mateo A, Philippines San Mateo Medical Center Full time

DUTIES & RESPONSIBILITIES

  1. In-charge of Finalizing Philippine Health Insurance Corporation (Philhealth) Claims;

  2. Analyzes and codes surgical procedures based on the Relative Unit Value (RUV) Scale;

  3. Processes and prepares patients' medical claims/benefits;

  4. Computes the deduction of the patient's benefit claims, based on Unified Benefit Schedule by the PhilHealth, to be applied to the patient's Statement of Account;

  5. Itemizes hospital charges such as medicines, x-ray/laboratory test, medical supplies and others;

  6. Responsible for the coding of Final Diagnosis using International Classification of Disease Version 10 (ICD-10);

  7. Responsible for having the Form II signed by the Attending Physician;

  8. Responsible for having all claims signed by the Hospital Administrator & Asst. Hospital Administrator before submission to PHIC;

  9. Prepares Monthly Accomplishment Report on all claims submitted to PHIC; and

  10. Shall perform other related function as may be assigned by the Immediate Supervisor.

QUALIFICATIONS:

  1. Graduate of any 4-year course

  2. Must have at least 6 months related experience

  3. With thorough knowledge in Medical Terminologies

  4. Preferably ICD-10 Certified

  5. Must be computer literate

Job Types: Full-time, Permanent

Ability to commute/relocate:

  • San Mateo A: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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