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Health Insurance Specialist
Health Insurance SpecialistCVS Health • Columbus, OH, US
Health Insurance Specialist

Health Insurance Specialist

CVS Health • Columbus, OH, US
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Description

The purpose of the Patient Relations Manager at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention.

Patient Relations Managers (PRMs) are an integral part of the Oak Street Health care team. Patient Relations Managers are the insurance experts at each clinic and advocate for patients by helping them navigate through insurance options and bills. They are also a resource to the care team and outreach team for questions regarding medicare and eligibility. Patient Relations Managers Are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare. The Patient Relations Manager will report to the Sr. PRM or Practice Manager.

Check out this pamphlet for a sneak peek into the life of an Oak Street Patient Relations Manager!

Responsibilities :

Assist patients with navigating medicare and insurance issues which includes coverage, benefits, summaries, eligibility and getting the most out of their plan

Serve as internal resource in the clinic on insurance questions for providers and staff

Assist patients in navigating the healthcare system, help patients resolve medical bills inside and outside of Oak Street Health (advocate for the patient)

Gain the trust of Oak Street Health patients in an effort to properly advise them in 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

This role reports to the Sr Patient Relations Manager (or Practice Manager in some circumstances) and has significant opportunities for advancement.

What we're looking for

We're looking for motivated, experienced Patient Relations Managers with :

Required Qualifications :

Computer Skills : Ability to quickly navigate and use multiple computer programs to include, but not limited to : Gmail, MS Word or Google Docs, Excel, etc.

US work authorization

Someone who embodies being "Oaky"

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 with helping patients or customers understand their insurance coverage

A passion for working with others to create an unmatched patient experiences

A problem-solving orientation and a flexible and positive attitude

Sales background preferred

Experience with and a supportive attitude toward our patient population of older adults

CRM experience a plus

Bachelor degree preferred, or equivalent experience

Experience helping patients navigate the health care system, especially related to Medicare and Managed Care

What does being "Oaky" look like?

Radiating positive energy

Assuming good intentions

Creating an unmatched patient experience

Driving clinical excellence

Taking ownership and delivering results

Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient's communities, and focused on the quality of care over volume of services. We're an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody "Oaky" values and passion for our mission.

Oak Street Health Benefits :

Mission-focused career impacting change and measurably improving health outcomes for medicare patients

Paid vacation, sick time, and investment / retirement 401K match options

Health insurance, vision, and dental benefits

Opportunities for leadership development and continuing education stipends

New centers and flexible work environments

Opportunities for high levels of responsibility and rapid advancement

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply.

Learn more at www.oakstreethealth.com / diversity-equity-and-inclusion-at-oak-street-health

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is :

$21.10 - $40.90

This pay range represents the base hourly rate or base annual full-time salary 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on : 09 / 17 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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