Health Insurance Specialist

CVS Health • Kalamazoo, MI

2d

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. As the insurance expert at a clinic, the PRA advocates for patients navigating insurance options, benefits, eligibility, bills, and the healthcare system, while also serving as a resource to care and outreach teams. The role is especially important during Medicare Open Enrollment, when patients need information about their available options.

The PRA reports to the Associate Patient Relations Manager or Practice Manager. The position is full-time, with 40 anticipated weekly hours. The listed typical pay range is $21.10–$40.90; the position may also be eligible for a CVS Health bonus, commission, or short-term incentive program. The actual offer depends on factors including experience, education, geography, and other relevant factors.

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, Russian, or other languages spoken in the communities served, where required by the center’s 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

• Help patients navigate Medicare and insurance issues, including coverage, benefits, summaries, eligibility, and making the most of their plan.
• Serve as an internal clinic resource for insurance questions from providers and staff.
• Help patients navigate the healthcare system and resolve medical bills inside and outside Oak Street Health by advocating for them.
• Build patient trust to provide appropriate guidance on healthcare coverage.
• Manage welcome visits and orientation for new Oak Street Health patients.
• Educate patients about 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 through the design and execution of events, including center tours.
• Perform other duties as assigned.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed