DUTIES & RESPONSIBILITIES
1. In-charge of Finalizing Philippine Health Insurance Corporation (Philhealth) Claims;
2. Analyzes and codes surgical procedures based on the Relative Unit Value (RUV) Scale;
3. Processes and prepares patients’ medical claims/benefits;
4. Computes the deduction of the patient’s benefit claims, based on Unified Benefit Schedule by the PhilHealth, to be applied to the patient’s Statement of Account;
5. Itemizes hospital charges such as medicines, x-ray/laboratory test, medical supplies and others;
6. Responsible for the coding of Final Diagnosis using International Classification of Disease Version 10 (ICD-10);
7. Responsible for having the Form II signed by the Attending Physician;
8. Responsible for having all claims signed by the Hospital Administrator & Asst. Hospital Administrator before submission to PHIC;
9. Prepares Monthly Accomplishment Report on all claims submitted to PHIC; and
10. Shall perform other related function as may be assigned by the Immediate Supervisor.
QUALIFICATIONS:
1. Graduate of any 4-year course
2. Must have at least 6 months related experience
3. With thorough knowledge in Medical Terminologies
4. Preferably ICD-10 Certified
5. Must be computer literate
Job Types: Full-time, Permanent
Ability to commute/relocate:
- San Mateo, Rizal: Reliably commute or planning to relocate before starting work (Required)
Work Location: In person
