Philhealth Staff
Job Summary
The person handling this position is responsible for correcting, completing and processing claims of all payer codes. It also required to generate revenue by making payment arrangements, collecting accounts, monitoring and pursuing delinquent accounts.
Job Requirements and Specifications
Knowledge in processing Philhealth requirements
At least college graduate of any four (4) year course
Computer Literate
With good oral communication skills
Duties and Responsibilities
A. Entertains Patient’s inquiries regarding Philhealth.
B. Computes Philhealth benefits/ deduction.
C. Process Philhealth claims for submission to PHIC.
D. Distributes Philhealth forms to the patient with Philhealth.
E. Crafts transmittal reports.
F. Ensures that all claims are submitted on time to PHIC.
G. Post Philhealth payments in the Log Book.
H. Monitors collection and receivables from PHIC.
I. Attends Philhealth seminars (as needed).
J. Process Philhealth claims refund to the hospital (RTH).
K. Ensures that hospital complies with Philhealth memorandums and circulars.
L. Responsible for completion and monitoring of all bench book requirements pertinent in their section.
M. Handles patients complaints regarding Philhealth deduction.
N. To do other job that may be assigned from time to time by the Admin Officer/ Department head.
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