Healthcare Benefit Section Head

9 hours ago

San Pablo City, Calabarzon, Philippines SPC MEDICAL CENTER Full time $40,000 - $60,000 per year

Healthcare Benefit Section Head

San Pablo Colleges Medical Center – San Pablo City, Laguna

About the Job

We are looking for a dedicated and detail-oriented Healthcare Benefit Section Head to oversee and manage the daily operations of our Healthcare Benefit Section. The successful candidate will ensure efficient PhilHealth claim processing, monitor staff performance, enforce policies, and implement strategic plans to meet organizational goals.

Key Responsibilities

  • Supervise daily operations of the section, including personnel activities and claims monitoring.
  • Review staff competency and implement development programs.
  • Arrange work schedules for the team.
  • Oversee final checking and submission of PhilHealth claims for both in-patient and out-patient cases.
  • Ensure accuracy of attached documents and maintain proper filing to PHIC.
  • Coordinate with PhilHealth regarding claim processing, payments, and updated circulars.
  • Facilitate orientation for new staff, including routine tasks and quality processes.
  • Prepare internal and external communication related to PHIC issues.
  • Monitor key performance indicators and implement strategic plans.
  • Attend PhilHealth-related seminars, trainings, and symposiums.
  • Implement and monitor quality management systems in the section.
  • Submit quality reports, tabulations, and performance evaluations.
  • Disseminate newly approved documents from Quality Management.
  • Review and monitor advisories and circulars from PhilHealth.
  • Perform other duties assigned by the superior.

Qualifications

  • Bachelor's degree in Management, Business, or equivalent.
  • Preferably knowledgeable in PhilHealth processes.
  • Strong oral and written communication skills.
  • Willing to attend seminars and trainings.
  • Quick thinker with clear decision-making skills.
  • Capable of enforcing policies and procedures.
  • Good moral character; dependable, responsible, and loyal.
  • Proficient in computer applications.
  • Able to work with minimal supervision.
  • Open to new challenges and continuous learning (including ICD-10 and related certifications).

Why Join Us?

At SPC Medical Center, you will be part of a team committed to quality healthcare service and continuous improvement. This is a great opportunity to take on a leadership role that directly impacts patient care and operational efficiency.

Location: Maharlika Highway, Brgy. San Rafael, San Pablo City, Laguna

Apply now and be part of our mission to provide quality healthcare services

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