RCI: Finance Analyst (PHIC)

Job Overview

We are seeking a detail-oriented and proactive PhilHealth Claims Processing Assistant to join our healthcare administration team. The successful candidate will be responsible for managing administrative and clerical tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining compliance with all relevant regulations.

Duties And Responsibilities

• Schedule and receive PhilHealth claims and related documents from Renal Clinic branches.
• Review each document for completeness and accuracy, analyzing any variances in accordance with PhilHealth policies.
• Determine patient benefit coverage and ensure utilization does not exceed available benefits.
• Verify that the number of claims submitted aligns with the transactions reported in financial reports.
• Collaborate regularly with the Accounts Receivable Analyst and Team Lead to ensure quality monitoring and timely submission of PhilHealth claims.
• Update monitoring reports and maintain files necessary for claims filing and other administrative tasks.
• Stay informed about updates and circulars related to hemodialysis by regularly checking the PhilHealth website.
  
  

Qualifications

• Educational Background:
• Bachelor's degree in Accounting, Business Administration, Finance, or a related field.Jooble
• Technical Skills:
• Proficient in Microsoft Office applications, including Word, Excel, and PowerPoint.
• Familiarity with hospital billing software and electronic claims systems is an advantage.
• Administrative and Organizational Skills:
• Strong administrative abilities with excellent organizational skills.
• High degree of accuracy and attention to detail in handling documents and data.
• Additional Qualifications:
• Knowledge of PhilHealth policies and procedures is preferred.
• Effective communication and interpersonal skills.
• Ability to work independently and collaboratively in a team environment.
  

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Pursuant to the Data Privacy Act of 2012 (R.A. 10173), its Implementing Rules and Regulations, and other issuances of the National Privacy Commission, the RelianceCare Inc., OR it’s subsidiary or affiliate, such as ActiveOne Health, Inc., and Health Delivery Systems, Inc. (also doing business under the name and style of “Flexicare Benefit Solutions and Healthfirst Clinic”), whichever is applicable to this form, ("It" or "the Company", for brevity) commits to protect and keep the confidentiality, integrity, and availability of all personal data provided. It will only use personal information to process job applications. Any questions regarding the Company's privacy notice shall be coursed through Its Data Protection Officer at the following and applicable email addresses: RCI - [email protected], ActiveOne - [email protected], or HDSI - [email protected]

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