Health Insurance Specialist

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Role 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