Oversee PhilHealth claims, accreditation, and compliance
Supervise the Healthcare Benefit team
Ensure timely claims processing and benefit verification
Monitor claim denials
Coordinate with PhilHealth and internal departments
Prepare reports and ensure compliance with applicable regulations and policies.
Requirements
Bachelor’s Degree in Healthcare Administration, Business Administration, Hospital Management, or related field
At least 5 years of healthcare benefits experience, including 2 years in a supervisory/managerial role
Strong knowledge of PhilHealth regulations, claims processing, accreditation, coding, billing, and reimbursement; excellent leadership and analytical skills.
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