Health Insurance Specialist

CVS Health•Dayton, OH

3d•$21 - $41

About The Position

The Patient Relations Analyst (PRA) at Oak Street Health educates patients about Medicare programs, resources, and affordable insurance coverage options to increase access to care and patient retention. PRAs are insurance experts at their clinics, helping patients navigate insurance options, benefits, eligibility, and bills while serving as a resource to care and outreach teams. They play a key role during Medicare Open Enrollment by ensuring patients understand their available options. The position reports to the Associate Patient Relations Manager or Practice Manager. The role also supports new-patient welcome visits and orientations, helps patients apply for public benefits, supports clinic operations as needed, and fosters engagement through events and center tours. It requires strong customer service and the ability to navigate multiple computer programs. The position is full-time, with 40 anticipated weekly hours, and offers an hourly pay range of $21.10 to $40.90. It is eligible for a CVS Health bonus, commission, or short-term incentive program, along with a benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Requirements

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

Nice To Haves

Proficiency in non-English languages such as Spanish, Polish, or Russian, or other languages spoken in the communities served, where required by center demographics.
Experience helping patients or customers understand insurance coverage.
Passion for working with others to create an unmatched patient experience.
Problem-solving orientation and a flexible, positive attitude.
Sales background.
Experience with and a supportive attitude toward older adults.
CRM experience.
Bachelor’s degree or equivalent experience.
Experience helping patients navigate the healthcare system, especially Medicare and Managed Care.

Responsibilities

Assist patients with Medicare and insurance issues, including coverage, benefits, summaries, eligibility, and using their plan effectively.
Serve as the clinic’s internal resource for insurance questions from providers and staff.
Help patients navigate the healthcare system and resolve medical bills inside and outside Oak Street Health.
Build patient trust to provide appropriate guidance on healthcare coverage.
Manage welcome visits and orientation for new Oak Street Health patients.
Educate patients on applying for public benefits, including Public Aid and Extra Help for prescription drugs.
Support clinic management with operational activities as needed, including scheduling and billing.
Provide exceptional customer service.
Foster patient engagement by designing and executing events, including center tours.
Perform other duties as assigned.