Job Description
NOTE: This job posting is under Asia Med Dialysis Center
Duties And Responsibilities
Process and submit PhilHealth claims for dialysis treatments accurately and on time.
Ensure complete and compliant documentation per PhilHealth rules and Circulars
Maintain updated PhilHealth accreditation requirements for the dialysis center
Coordinate with nurses, physicians, and billing staff to validate patient records
Verify patient PhilHealth eligibility, register patients in the PhilHealth Dialysis Database (PDD), and explain benefits.
Monitor claim statuses, reimbursements, denials, and adjustments
Prepare monthly reports on utilization, collections, and claim status
Educate patients regarding PhilHealth benefits for dialysis coverage.
Address patient concerns related to PhilHealth deductions and coverage.
Scans & files documents for storage
Ensure confidentiality and proper handling of patient and billing records
Skills And Qualifications
Bachelors degree in Business Administration, Healthcare Management, or related field.
Minimum 13 years experience in PhilHealth processing, preferably in dialysis centers, hospitals, clinics or healthcare facilities.
Hands-on experience with PhilHealth eClaims, Z-Benefit packages (dialysis-related), RTH, CF4, and supporting documents
Knowledge of PhilHealth guidelines, DOH, and government healthcare regulations.
Strong organizational skills and attention to detail.
