Patient Care

• Pre-chart and prepare patient charts before appointments
• Support approximately 3 patients per day, up to 12–15 patients per week
• Ensure required test results, labs, imaging, and other relevant information are received and added to patient charts
• Coordinate cognitive testing, imaging, and laboratory work across multiple platforms
• Handle post-visit patient communication and follow-ups
• Track outstanding patient-related tasks and ensure appropriate follow-up
• Prepare charts for physician review; the physician completes and signs the note
• Coordinate and track care and results without clinical review, triage, or interpretation
• Support prior authorization requests for MRIs and diagnostic imaging
• Track authorization status and outstanding requirements
• Follow the client's established prior authorization workflow
• Track patients throughout the four-visit yearly program
• Monitor patient progress and send reminders, check-ins, and follow-up communications
• Maintain spreadsheets and data trackers for patient progress and outstanding items
• Generate superbills for cash-pay patients using the established workflow
• Manage spreadsheets and data trackers
• Assist with calendar and schedule management
• Support email and inbox management
• Assist with social media posting and follower engagement
• Provide general executive assistant and administrative support as needed
• Prioritize clinical and patient-related responsibilities over secondary administrative tasks

Neurology Medical VA – Patient Care Coordination, Prior Authorization

• Help members access the right care, at the right time, in the right care setting, and at the right cost
• Support members in understanding and navigating healthcare benefits and services
• Guide members through healthcare pathways and provider networks
• Coordinate communication among members, healthcare providers, and MediCard
• Ensure healthcare services are medically necessary, appropriate, and aligned with benefit entitlements
• Serve as the primary point of contact for members within assigned healthcare facilities
• Guide members in accessing appropriate healthcare services and providers
• Assist members with healthcare benefits, limitations, options, admission, confinement, treatment, and discharge processes
• Facilitate referrals and coordination of care
• Verify member eligibility and benefit coverage
• Process approvals and authorizations and explain coverage, limitations, exclusions, and requirements
• Support claims and documentation processes
• Implement utilization management policies and coordinate with healthcare providers
• Escalate complex medical necessity concerns to designated clinical teams
• Deliver compassionate and professional member support and manage concerns and complaints
• Conduct service recovery activities when necessary
• Develop relationships with hospital personnel and physicians
• Promote collaborative problem-solving and provider awareness of MediCard processes
• Gather provider feedback for service improvement
• Maintain accurate documentation and records
• Ensure timely reporting and escalation of critical issues
• Participate in quality improvement initiatives
• Promote MediCard’s brand promise and educate members about MediCard’s services
• Participate in member education campaigns and support brand awareness initiatives

Patient Care Officer

• Help members access the right care, at the right time, in the right care setting, and at the right cost
• Serve as the primary point of contact for members within assigned healthcare facilities
• Guide members in accessing appropriate healthcare services and providers
• Explain healthcare benefits, limitations, exclusions, and available options
• Support members throughout admission, confinement, treatment, and discharge
• Facilitate referrals and coordination of care
• Verify member eligibility and benefit coverage
• Process approvals and authorizations in a timely manner
• Ensure services are within approved benefits and coverage guidelines
• Support claims and documentation processes
• Coordinate with healthcare providers regarding covered services
• Support medically necessary and evidence-based healthcare practices
• Escalate complex medical necessity concerns to designated clinical teams
• Deliver compassionate and professional member support
• Manage concerns and complaints and conduct service recovery activities
• Develop positive relationships with hospital personnel and physicians
• Gather provider feedback for service improvement
• Maintain accurate documentation and records
• Ensure timely reporting and escalation of critical issues
• Participate in quality improvement initiatives
• Educate members regarding MediCard’s services and participate in member education campaigns
• Support brand awareness initiatives within healthcare facilities

Field Patient Care Officer

• Serve as the primary point of contact for members within assigned healthcare facilities
• Guide members in accessing appropriate healthcare services and providers
• Explain healthcare benefits, limitations, exclusions, requirements, and available options
• Support members throughout admission, confinement, treatment, and discharge processes
• Facilitate referrals, approvals, authorizations, claims, and care coordination
• Verify member eligibility and benefit coverage
• Facilitate implementation of utilization management policies and medically necessary, evidence-based care
• Coordinate with healthcare providers regarding covered services and escalate complex medical necessity concerns
• Deliver compassionate and professional member support and manage complaints and service recovery
• Develop relationships with hospital personnel and physicians and participate in provider engagement activities
• Maintain documentation, comply with privacy requirements, meet SLAs, report and escalate critical issues, and participate in quality improvement
• Promote MediCard’s brand promise, educate members about services, and support brand awareness initiatives

• Serve as the primary point of contact for members within assigned healthcare facilities
• Guide members in accessing appropriate healthcare services and providers
• Assist members in understanding healthcare benefits, limitations, and available options
• Support members throughout admission, confinement, treatment, and discharge processes
• Facilitate referrals and coordination of care
• Assist members in navigating complex healthcare situations
• Verify member eligibility and benefit coverage
• Facilitate timely processing of approvals and authorizations
• Explain coverage, limitations, exclusions, and requirements
• Ensure services rendered are within approved benefits and coverage guidelines
• Support efficient claims and documentation processes
• Facilitate implementation of MediCard utilization management policies
• Coordinate with healthcare providers regarding covered healthcare services
• Support medically necessary and evidence-based healthcare practices
• Promote treatment in the most appropriate level of care
• Escalate complex medical necessity concerns to designated clinical teams
• Deliver compassionate and professional member support
• Practice active listening and empathy during member interactions
• Manage concerns and complaints promptly
• Conduct service recovery activities when necessary
• Ensure every member interaction reflects MediCard's brand promise