Admin Staff/ PHILHEALTH Coordinator, Cavite

PhilHealth Coordination

• Process and submit PhilHealth claims for patients/members.
• Verify PhilHealth membership eligibility and benefits.
• Ensure accuracy and completeness of PhilHealth documents and requirements.
• Coordinate with PhilHealth offices regarding claim status, discrepancies, and updates.
• Monitor and track submitted claims and reimbursements.

Documentation and Records Management

• Maintain organized records of PhilHealth claims, patient files, and billing documents.
• Prepare and update reports related to PhilHealth transactions.
• Ensure compliance with PhilHealth policies and government regulations.

Administrative Support

• Provide general administrative assistance to the office or healthcare facility.
• Handle data entry, filing, scanning, and document preparation.
• Assist with scheduling, correspondence, and office coordination.

Patient/Member Assistance

• Assist patients with PhilHealth requirements and claim procedures.
• Explain benefits, forms, and documentation needed for claims.
• Address patient inquiries related to PhilHealth coverage and processes.

Compliance and Updates

• Stay updated with PhilHealth circulars, policies, and claim procedures.
• Ensure the facility complies with PhilHealth accreditation requirements.

• Bachelors degree in Business Administration, Healthcare Administration, or related field.
• Experience in PhilHealth claims processing or hospital administration is an advantage.
• Knowledge of PhilHealth guidelines and documentation.
• Strong organizational, administrative, and communication skills.
• Proficient in MS Office (Excel, Word) and basic office systems.