Health Insurance Specialist

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

About the role

The Patient Relations Analyst (PRA) at Oak Street Health educates patients about Medicare programs, resources, and affordable insurance coverage options to increase patient access to care and retention. PRAs are integral to the Oak Street Health care team, serving as insurance experts at each clinic and advocating for patients by helping them navigate insurance options and bills. They also act as a resource for the care and outreach teams regarding Medicare and eligibility. PRAs play a key role during Medicare's Open Enrollment, ensuring patients are informed of all their options. This role reports to the Associate Patient Relations Manager or Practice Manager.

Responsibilities

• Assist patients with navigating Medicare and insurance issues, including coverage, benefits, summaries, eligibility, and getting the most out of their plan.
• Serve as an internal resource in the clinic on insurance questions for providers and staff.
• Assist patients in navigating the healthcare system and help resolve medical bills inside and outside of Oak Street Health (advocate for the patient).
• Gain the trust of Oak Street Health patients to properly advise them on their healthcare coverage.
• Manage the welcome visit and orientation process for new Oak Street Health patients.
• Educate patients on how to apply for public benefits, such as Public Aid and Extra Help for prescription drugs.
• Support the clinic management team on operational activities as needed, including scheduling and billing.
• Provide exceptional customer service.
• Foster patient engagement through the design and execution of events, including center tours.
• Other duties as assigned.

Qualifications

Required Qualifications

• Computer Skills: Ability to quickly navigate and use multiple computer programs, including Gmail, MS Word or Google Docs, Excel, etc.
• US work authorization.

Strongly Preferred Qualifications

• Proficiency in non-English languages like Spanish, Polish, Russian, or other languages spoken by people in the communities we serve (where necessary) as required by center's demographics.

Preferred Qualifications

• Experience helping patients or customers understand their insurance coverage.
• A passion for working with others to create unmatched patient experiences.
• A problem-solving orientation and a flexible, positive attitude.
• Sales background preferred.
• Experience with and a supportive attitude toward our patient population of older adults.
• CRM experience a plus.
• Bachelor's degree preferred, or equivalent experience.
• Experience helping patients navigate the healthcare system, especially related to Medicare and Managed Care.

Schedule

• Full time.
• 40 hours per week.

Pay

The typical pay range for this role is $21.10 - $36.78 per hour. This pay range represents the base hourly rate for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Benefits

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families, including:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources.