Field Patient Care officer
Core
Field Patient Care officer who helps members access the right care at the right time, setting, and cost while ensuring a positive healthcare experience.
Role type
Field Patient Care officer (Member Advocate, Healthcare Navigator, Care Coordinator, Utilization Steward, Brand Ambassador)
Builds
Member access to appropriate healthcare services and provider networks
Domain
Health insurance / HMO / Patient care coordination
Deliverable
client delivery
Required skills
Healthcare navigation, Benefit verification and management, Care coordination, Utilization management, Provider relationship management, Compliance and documentation
Preferred skills
Active listening, Empathy, Service recovery, Brand promotion
Technologies
None stated
Responsibilities
Serve as primary point of contact for members within assigned healthcare facilities; Guide members in accessing appropriate healthcare services and providers; Verify member eligibility and benefit coverage; Coordinate with healthcare providers regarding covered healthcare services; Develop positive working relationships with hospital personnel and physicians; Maintain accurate documentation and records.
Seniority
Individual contributor, operational level
