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 care to ensure seamless, cost-effective, and medically appropriate services.
Role type
Field Liaison Officer (Care Coordination & Member Advocacy)
Builds
Member healthcare experiences and provider collaboration within the HMO ecosystem
Domain
Healthcare / HMO Operations
Deliverable
client delivery
Required skills
Healthcare navigation, benefit verification, care coordination, utilization management, provider relationship management, compliance adherence, member experience management
Preferred skills
Registered Nurse (RN) licensure, experience in HMO operations, case management, patient relations
Technologies
Data Privacy Act compliance tools, claims processing systems
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.