Z-Benefits Coordinator

2 weeks ago

Santa Cruz P, Philippines Metropolitan Medical Center Full time ₱250,000 - ₱500,000 per year

JOB SUMMARY:

The Z-Benefits Coordinator will be responsible for managing and coordinating all activities related to the Z-Benefits Package of PhilHealth, ensuring that eligible beneficiaries receive the correct services and benefits in a timely manner.

CLINICAL RESPONSIBILITIES:

  • Oversee the implementation of the Z-Benefits Package, ensuring all processes, documentation, and eligibility requirements are correctly followed for beneficiaries under the program.
  • Verify the eligibility of member and dependents for the Z-Benefits Package and ensure accurate submission of required documents for claim processing.
  • Assist in processing claims related to Z-Benefits, ensuring that all required paperwork is complete and accurate.
  • Monitor the status of claims to ensure timely disbursements.
  • Serves as the primary liaison between PhilHealth, healthcare providers, and members regarding the Z-Benefits Package.
  • Respond to inquiries and provide guidance to members, health facilities, and other stakeholders.
  • Maintain accurate records of claims, beneficiaries, and other related documents.
  • Prepare and submit regular reports on the progress of the Z-Benefits program, highlighting key metrics, issues, and resolutions.
  • Ensure compliance with PhilHealth policies, procedures, and the Z-Benefits program's guidelines.
  • Identify areas for process improvement and assist in refining systems to enhance service delivery.
  • Providing training and support to internal teams, healthcare providers, and other stakeholders regarding the Z-Benefits package, ensuring they are well-informed about the process and requirements.
  • Organize and maintain Z-Benefits data, including claims, eligibility details, and beneficiary information, ensuring the accuracy and confidentiality of records.
  • Investigate and resolve issues that arise during the claim or eligibility verification process, working closely with the appropriate teams to ensure smooth service delivery.

JOB SPECIFICATIONS:

  • Bachelor of Science in Health Administration, Public Health, or a related field
  • At least 1 to 2 years of experience in health insurance, benefits administration, or healthcare coordination.
  • Experience with PhilHealth or similar program is preferred.
  • Strong knowledge of PhilHealth Z-Benefits Program Package, policies, and procedures.
  • Excellent communication and interpersonal skills.
  • Detail-oriented with strong organization and time-management abilities
  • Proficient in Microsoft Office and familiarity with healthcare management systems.
  • Ability to manage multiple tasks simultaneously in a fast-paced environment
  • Knowledge of relevant healthcare regulations and standards in the Philippines

Job Type: Full-time

Pay: From Php20,850.00 per month

Work Location: In person

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