Healthcare Navigator & Member Experience Advocate

AIA Shared Services; Bataan; On-site; PHP 223,000 - 391,000; Full time

Job summary

MediCard Phils., Inc. is seeking energetic individuals to fill vital roles in member advocacy, navigation, care coordination, and utilization stewardship across our network of hospitals and clinics.

You will help members access the right care at the right time and ensure services are medically appropriate and within benefits. The positions focus on guiding members through admissions, treatments, and discharge processes, while promoting a positive healthcare experience and strong brand integrity

Responsibilities

• Healthcare Navigation: Serve as the primary point of contact for members within assigned healthcare facilities.
• Benefit Implementation and Management: Verify member eligibility and benefit coverage, facilitate approvals and authorizations.
• Medical Appropriateness and Care Coordination: Coordinate with providers on covered services and promote appropriate levels of care.
• Member Experience Excellence: Deliver compassionate, professional member support, actively listen, and address concerns promptly.

Job description

MediCard Phils., Inc. is seeking energetic individuals to fill vital roles in member advocacy, navigation, care coordination, and utilization stewardship across our network of hospitals and clinics.

You will help members access the right care at the right time and ensure services are medically appropriate and within benefits. The positions focus on guiding members through admissions, treatments, and discharge processes, while promoting a positive healthcare experience and strong brand integrity