HMO Care Liaison & Member Advocate

Private Advertiser; Metro Manila; Vor Ort; PHP 300.000 - 520.000; Vollzeit

Zusammenfassung

Private Advertiser in Makati City / Cavite area seeks a Liaison Officer to serve as a Care Partner and Member Advocate. You will help members access timely, medically appropriate, and affordable healthcare while acting as the client’s face in facilities.

Responsibilities include guiding members through the healthcare journey, coordinating with providers, advocating for members, and ensuring adherence to policies and medical necessity standards to improve overall patient experience.

Qualifikationen

• Background in healthcare coordination or related field.
• Experience in navigating healthcare services and benefits.
• Strong communication and interpersonal skills.
• Ability to engage compassionately with members and providers.
• Attention to policy details and medical necessity standards.

Aufgaben

• Guide members through healthcare facilities and their end-to-end journey.
• Facilitate appropriate utilization of member benefits and services.
• Coordinate with healthcare providers to support timely care delivery.
• Advocate for members and address healthcare-related needs.
• Promote quality outcomes and positive member experience.
• Ensure service coordination complies with client policies and standards.
• Support effective communication between members, providers, and the client.

Kenntnisse

Healthcare coordination

Patient navigation

Member services

Benefits administration

Care coordination

Ausbildung

Nursing

Medical Technology

Physical Therapy

Pharmacy

Healthcare Administration

Allied Health Sciences

Other healthcare-related courses

Jobbeschreibung

Private Advertiser in Makati City / Cavite area seeks a Liaison Officer to serve as a Care Partner and Member Advocate. You will help members access timely, medically appropriate, and affordable healthcare while acting as the client’s face in facilities.

Responsibilities include guiding members through the healthcare journey, coordinating with providers, advocating for members, and ensuring adherence to policies and medical necessity standards to improve overall patient experience.