Member Experience Specialist (Physician Facing Team)

Carda health Inc.; Philippines; On-site; PHP 334,800 - 558,000; Full time

Benefits offered by this job

Opportunity for growth within a startup

Supportive team culture

Fully remote role

Job summary

Carda Health Inc. is seeking a Member Experience Specialist (Physician Facing Team) in the Philippines. This role is essential for supporting the coordination and intake process for our cardiopulmonary rehabilitation program. You will be responsible for processing referrals, communicating with patients and physicians, and maintaining accurate documentation. Ideal candidates have healthcare coordination experience and strong communication skills. Join our remote-first, mission-driven team and contribute to improving lives for patients with chronic conditions.

Qualifications

• Previous experience in administrative or healthcare coordination.
• Familiarity with medical terminology and healthcare workflows.
• Ability to manage multiple tasks efficiently without losing detail.

Responsibilities

• Coordinate and process referrals from external physician offices.
• Verify clinical provider information with patients.
• Maintain accurate records of all communications and referrals.

Skills

Healthcare coordination

Communication skills

Organizational skills

Problem-solving skills

Education

High school diploma or equivalent

Bachelor’s degree

Job description

Position Overview:

The Member Experience Specialist (Physician Facing Team) plays a critical role in supporting the coordination and intake process for Carda’s cardiopulmonary rehabilitation program. This position serves as the vital bridge between physician offices, patients, and our internal clinical teams. Your mission is to ensure the timely, accurate, and efficient processing of referrals and medical documentation, ensuring that "logistics" never stands in the way of life‑saving care.

Key Responsibilities:

External Coordination & Referral Processing

• Proactively contact outside physician offices to request, obtain, and follow up on required medical records necessary to determine patient eligibility.


• Maintain consistent communication with external physician offices to ensure the timely receipt of documentation.


• Accurately process incoming external referrals, ensuring all documentation is complete and compliant with program criteria.

Patient Communication & Advocacy

• Communicate directly with patients to verify clinical providers and information.


• Provide transparent updates to patients regarding their medical history (PMH) status and guide them through the next steps of the intake process.

Internal Physician Support

• Submit and track daily internal referral requests to Carda physicians for eligibility determination.


• Compile and present relevant patient information clearly to support efficient clinical decision‑making.

Operational Excellence & Documentation

• Maintain organized, up‑to‑date records of all communications and referrals in accordance with regulatory standards.


• Identify and address gaps in documentation or workflow delays to ensure a seamless intake process.


• Ensure 100% accuracy in data entry and record management, adhering strictly to HIPAA and privacy standards.

What we look for:

• Experience: Previous administrative or healthcare coordination experience (Telehealth or referral management experience is a major plus).


• Education: High school diploma or equivalent required; Bachelor’s degree preferred.


• Medical Literacy: Familiarity with medical terminology and healthcare workflows.


• Organizational Prowess: The ability to manage multiple tasks and track numerous patient cases simultaneously without losing detail.


• Communication: Professional, clear, and courteous communication skills for interacting with physicians, clinical staff, and patients.

Nice to Haves:

• Problem‑Solving Mindset: A demonstrated ability to proactively identify barriers to obtaining records and develop creative solutions to overcome delays.


• Time Management: Proven ability to effectively prioritize daily responsibilities in a fast‑paced, high‑volume environment.


• Adaptability: Comfort working in a dynamic startup setting where processes evolve and priorities shift.


• High Attention to Detail: A "detective" mindset—the ability to spot inconsistencies or missing information in medical records before they become issues.

Why Join Carda Health?

• Be part of a mission‑driven company dedicated to improving lives for patients with chronic conditions.


• Fully remote role with a supportive and collaborative team culture.


• Opportunity to grow and develop within a rapidly scaling healthcare startup.