Member Experience Specialist - Physician Facing Team
New
C
Carda HealthHealthcare
PhilippinesContractMiddle
Salary not disclosed
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Job Details
Requirements
- Previous administrative or healthcare coordination experience
- High school diploma or equivalent
- Familiarity with medical terminology and healthcare workflows
- Ability to manage multiple tasks and track numerous patient cases simultaneously
- Professional, clear, and courteous communication skills
- Bachelor’s degree preferred
- Telehealth or referral management experience (plus)
Responsibilities
- 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.
- 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.
- 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.
- 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.
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