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 Receivabl...