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Insurance Specialist

Hispanic Alliance for Career Enhancement, Hempfield, PA, United States


Company:

Oak Street Health

Title:

Insurance Specialist/Patient Relations Manager (Bilingual/Creole preferred)

Role Overview
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 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. PRMs are daily key players, particularly during Medicare's Open Enrollment, ensuring that patients are informed of all their options surrounding Medicare. The Patient Relations Manager reports to the Sr. PRM or Practice Manager.

Responsibilities

Assist patients with navigating Medicare and insurance issues, including 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 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

Required Qualifications

Computer Skills: Ability to quickly navigate and use multiple computer programs, including Gmail, MS Word or Google Docs, Excel, etc.

US work authorization

Strongly Preferred Qualifications

Proficiency in non-English languages such as Spanish, Polish, Russian, or other languages spoken by people in the communities served where required by center demographics

Preferred Qualifications

Experience helping patients or customers understand their insurance coverage

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

A problem-solving orientation and a flexible and positive attitude

Sales background preferred

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

CRM experience an plus

Bachelor degree preferred, or equivalent experience

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

Great benefits for great people:

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

Pay Range
The typical pay range for this role is: $21.10 - $49.08. The 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.

Hours and Time Type
Anticipated Weekly Hours: 40

Time Type: Full time

Application Information
We anticipate the application window for this opening will close on: 05/27/2026

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

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

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