Field Patient Care Officer
Core
Field Patient Care Officer who guides members through healthcare pathways, verifies benefit eligibility, and coordinates care to ensure appropriate access to services.
Role type
Member Advocate / Healthcare Navigator / Care Coordinator
Builds
Member access to right care, right time, right setting, and right cost
Domain
Health Insurance / HMO / Patient Care Coordination
Deliverable
client delivery
Required skills
Healthcare navigation, Benefit verification, Care coordination, Utilization management, Provider relationship management, Compliance adherence
Preferred skills
Active listening, Empathy, Service recovery, Data privacy compliance
Technologies
None 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 to members and providers.
Seniority
Individual Contributor