Health Insurance Specialist

CVS Health • Burton, MI

4d • $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, advocating for patients as they navigate insurance options, coverage questions, and medical bills. They also support care and outreach teams with Medicare and eligibility questions. During Medicare Open Enrollment, they help ensure patients understand their available options. The role reports to an Associate Patient Relations Manager or Practice Manager.

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 needed based on 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

• 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, advocating for patients.
• Build patients’ trust to provide appropriate guidance about healthcare coverage.
• Manage the welcome visit and orientation process for new Oak Street Health patients.
• Educate patients about applying for public benefits, such as 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 colleagues’ physical, emotional, and financial well-being, based on eligibility
• Potential 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