Field Liaison Officer
Core
Serve as a Care Partner and Member Advocate within healthcare facilities, guiding members through their healthcare journey, facilitating benefit utilization, and coordinating with healthcare providers to ensure timely, medically appropriate, and cost-effective services.
Role type
Field Liaison Officer (Member Advocate)
Builds
Seamless member experiences and compliant healthcare service delivery within the HMO ecosystem
Domain
Healthcare / Health Maintenance Organization (HMO) / Member Services
Deliverable
client delivery
Required skills
Healthcare navigation, benefit administration, utilization management, care coordination, provider relationship management, compliance monitoring, member advocacy
Preferred skills
Registered Nurse (RN) licensure, experience in HMO operations, case management, patient relations
Technologies
None explicitly stated
Responsibilities
Guide members in accessing appropriate healthcare services and providers; Verify member eligibility and benefit coverage; Coordinate with healthcare providers regarding covered services; Manage concerns and complaints promptly; Maintain accurate documentation and records; Promote MediCard's brand promise within healthcare facilities