Health Insurance Specialist

4 weeks ago


Cincinnati, United States Oak Street Health Full time

Role Description

Oak Street Health takes a team-based approach to providing outstanding patient care. Our Service Team builds individual relationships with our patients and ensures they are happy with their experience. The Service Team is responsible for delivering excellent, high-touch assistance to our patients everyday.

Patient Relations Managers (PRMs) are an integral part of our team. They are the insurance experts at each clinic. They advocate for our 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. PRMs are key players during Open Enrollment ensuring that our patients are informed of all their options surrounding Medicare.

Core Responsibilities

Learn the ins and outs of Medicare and use knowledge to assist patients with navigating insurance issues

Serve as internal resource in the clinic on insurance questions for physicians 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)

Build and maintain trusting relationships with Oak Street Health patients in an effort to properly advise them in their healthcare coverage

Manage welcome visits and orientation processes for new Oak Street Health patients

Assist patients with applying for public benefits, such as Public Aid, free phones, and Extra Help for prescription drugs

Support the clinic management team on operational activities, as needed, including scheduling and billing

Provide exceptional customer service to create an unmatched patient experience

Foster patient engagement through the design and execution of events, including center tours

Other duties as assigned

What are we looking for?

We're looking for motivated individuals with:

A problem-solving orientation and a flexible and positive attitude

An eagerness to help us build and refine our operating model

Sales background preferred, but not required

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

Familiarity with relevant patient population

Community health experience preferred

Proficient PC skills

Bachelor's degree preferred, or equivalent education and work experience

Fluency in Spanish, Polish, Russian, or other languages commonly spoken by people in the communities we serve preferred, where necessary

US work authorization

Someone who embodies being 'Oaky' 



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