In-House Patient Care Navigator

AIA Shared Services; Manila; Hybrid; PHP 360,000 - 520,000; Full time

Job summary

MediCard Phils., Inc. in Makati invites applications for an In-house Patient Care Officer who will act as the face of MediCard within healthcare facilities, guiding members through their journey, and promoting quality care while ensuring policy compliance.

The role emphasizes accessibility, timely support, and positive health outcomes for members. The position centers on virtual interactions via phone, email, chat, and video, with duties spanning navigation, utilization management, and care

Qualifications

• Experience communicating with members via phone, email, or chat.
• Ability to explain benefits, coverage, and processes clearly.
• Comfort with virtual care platforms and documentation.
• Strong problem-solving and customer service mindset.

Responsibilities

• Verify member eligibility and benefit coverage.
• Guide members through authorization and healthcare access processes.
• Explain coverage, limitations, exclusions, and requirements clearly.
• Coordinate with providers, hospitals, and internal teams.
• Deliver compassionate and professional service through virtual channels.
• Maintain proactive communication throughout the member journey.

Skills

Active listening

Empathy

Clear communication

Digital communication

Job description

MediCard Phils., Inc. in Makati invites applications for an In-house Patient Care Officer who will act as the face of MediCard within healthcare facilities, guiding members through their journey, and promoting quality care while ensuring policy compliance.

The role emphasizes accessibility, timely support, and positive health outcomes for members. The position centers on virtual interactions via phone, email, chat, and video, with duties spanning navigation, utilization management, and care