The Philippine Health Insurance Corporation (PhilHealth) was created in 1995 to implement universal health coverage in the Philippines. It is a tax-exempt, government-owned and controlled corporation (GOCC) of the Philippines, and is attached to the Department of Health.
The National Health Insurance Program was established to provide health insurance coverage and ensure affordable, acceptable, available and accessible healthcare services for all citizens of the Philippines. It shall serve as the means for the healthy to help pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. It shall initially consist of Programs I and II or Medicare and be expanded progressively to constitute one universal health insurance program for the entire population. The program shall include a sustainable system of funds constitution, collection, management and disbursement for financing the availment of a basic minimum package and other supplementary packages of health insurance benefits by a progressively expanding proportion of the population. The program shall be limited to paying for the utilization of health services by covered beneficiaries. It shall be prohibited from providing health care directly, from buying and dispensing drugs and pharmaceuticals, from employing physicians and other professionals for the purpose of directly rendering care, and from owning or investing in health care facilities. (Article III, Section 5 of RA 7875 as amended)
Its stated goal is to ensure a sustainable national health insurance program for all, according to the company. In 2010, it claimed to have achieved universal coverage for 86% of the population, although the 2008 National Demographic Health Survey showed that only 38 percent of respondents were aware of at least one household member being enrolled in PhilHealth. Nevertheless, this social insurance program provides a means for the healthy to pay for the care of the sick and for those who can afford medical care to subsidize those who cannot. Both local and national governments allocate funds to subsidize the indigent.PhilHealth collects premiums, accredits providers, sets the benefits packages and provider payment mechanisms, processes claims, and reimburses providers for their services. PhilHealth is responsible for the oversight and administration of public sector insurance schemes. PhilHealth’s mandate is to provide health insurance coverage to all Filipinos. In partnership with Local Government Units (LGUs), PhilHealth has enrolled millions of families who otherwise have no access to health services.
Interestingly, PhilHealth Northern Mindanao (Region 10) is looking for 27 Social Insurance Assistants until November 2, 2022.
Twenty-seven (27) Social Insurance Assistant I (Php 25,745.62 Monthly Rate)
Place of Assignment & No. of Vacant Positions
- Local Health Insurance Office (LHIO)- Cagayan de Oro (9)
- LHIO- Iligan (6)
- LHIO- Bukidnon (5)
- LHIO- Ozamiz (4)
- LHIO- Gingoog (3)
Job Summary
- Profile assigned accounts which should encompass verification of employer/ member data records and updating among others;
- Conduct employer/ member engagement activities or consultations for all assigned accounts to reconcile and validate records vis-a-vis employer payroll records/ annual income tax return (ITR);
- Conduct PIN verification of employers/ member;
- Ensure accurate monthly premium payments and reports submission;
- Ensure enrollment of assigned accounts to the EPRS online payment scheme;
- Generate the first billing statement for delinquent employers and monitor unwarranted claims;
- Monitor employer/ member compliance on issued billings/ SPAs;
- Prepare case folders of delinquent employers/ member for endorsement to Collection Section or Legal Office accordingly; and
- Submit monthly accomplishment/ monitoring status reports to PRO FOD/ Branc through Collection copy furnished the Formal Sector- MMG.
Qualifications
- Education: Bachelor’s degree relevant to the job (degrees in the field of financial, business management or marketing)
- Work Experience: 1 year of relevant experience (marketing, sales, financial or accounts management experience)
- Training: 8 hours of relevant training
Should you wish to apply for the abovementioned position, click the button provided below for more information.
Source: Philippine Go
