In-House Health Navigator & Care Coordinator

AIA Shared Services; Philippines; On-site; PHP 279,000 - 446,000; Full time

Job summary

MediCard Phils., Inc. is seeking an ILO to guide members through healthcare pathways and ensure a positive experience across virtual channels.

The role focuses on helping members access the right care at the right time and setting, via phone, email, chat, and video consultations. The successful candidate will coordinate with network providers, hospitals, and internal teams, promote appropriate utilization, and deliver service excellence in line with MediCard's mission to make healthcare

Responsibilities

• Verify member eligibility and benefit coverage.
• Facilitate timely processing of approvals and authorizations.
• Explain coverage, benefit limitations, exclusions, and requirements clearly.
• Guide members through authorization and healthcare access processes.
• Support efficient documentation and case management.
• Assist members with benefit-related concerns and inquiries.

Job description

MediCard Phils., Inc. is seeking an ILO to guide members through healthcare pathways and ensure a positive experience across virtual channels.

The role focuses on helping members access the right care at the right time and setting, via phone, email, chat, and video consultations. The successful candidate will coordinate with network providers, hospitals, and internal teams, promote appropriate utilization, and deliver service excellence in line with MediCard's mission to make healthcare