Claims processor
Las Piñas
Job Description
Posted on 6 April 2026
Key Responsibilities:
- Verify patient eligibility and PhilHealth membership details prior to admission or discharge
- Ensure completeness and accuracy of all required documents for PhilHealth claims
- Prepare, process, and submit PhilHealth claims within prescribed timelines
- Coordinate with patients, nurses, physicians, and other departments to secure necessary documentation
- Review patient charts, diagnoses, and procedures to ensure alignment with PhilHealth requirements
- Monitor and track submitted claims, including follow-ups on pending, returned, or denied claims
- Address discrepancies, deficiencies, or denied claims and initiate corrective actions
- Maintain organized records of all claims, submissions, and related documents
- Stay updated on PhilHealth policies, circulars, and regulatory changes
- Assist patients with inquiries related to PhilHealth benefits, coverage, and requirements
- Prepare reports on claims status, utilization, and collection performance
- Support audits and compliance checks related to PhilHealth processing
Qualifications/Requirements
Qualifications:
- Bachelor’s degree in Finance, Accounting, Business Administration, or related field
Work location
CITY OF LAS PIÑAS, NCR, FOURTH DISTRICT
Remarks
No additional remarks
Apply now
Las Piñas
with HMO providers and internal departments to ensure proper authorization for medical services
4. Process HMO claims and follow up on pending, denied, or returned claims
5. Maintain accurate records of HMO transactions, claims, and correspondence
6. ..
MSN LABS PHILIPPINES IncLas Piñas
in the field.
• Willing to assign in Paranaque/Las Pinas/Muntinlupa.
What We Offer
• Competitive salary
• Continuous training and professional development programs
• Career growth opportunities within a leading pharmaceutical company
• Transportation...
CITADEL Pacific Ltd.Pasay, 11 km from Las Piñas
The Supply Manager shall ensure the efficient and full supply of all necessary products and equipment at the best price level needed according to agreed specifications and on time delivery of suppliers. To ensure compliance with all regulatory...