Benefits Specialist

CVS Health; Richmond (VA); On-site; USD 51,000 - 85,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness program

Bonus program

Job summary

Oak Street Health is hiring a Patient Relations Analyst to educate patients about Medicare programs, resources, and affordable insurance options to increase access to care and retention.

As part of the clinic team, PRAs are the insurance experts, guiding questions about Medicare and eligibility and serving as a resource to care and outreach teams. Reports to Associate PRA/Practice Manager.

Qualifications

• Requires ability to navigate multiple computer programs including Gmail, Word/Docs, Excel.
• Bachelor's degree or equivalent experience preferred.

Responsibilities

• Assist patients with navigating medicare and insurance issues including coverage, benefits, summaries, eligibility and optimizing their plan.
• Serve as internal clinic resource on insurance questions for providers and staff.
• Assist patients in navigating the healthcare system and resolving medical bills.
• Gain trust of patients to properly advise on healthcare coverage.
• Manage welcome visit and orientation for new patients.
• Educate patients on applying for public benefits and Extra Help for prescriptions.
• Support clinic management on scheduling and billing.
• Provide exceptional customer service.
• Foster patient engagement through events and center tours.
• Other duties as assigned.

Skills

Gmail

Google Docs

Excel

MS Word

US work authorization

Education

Bachelor's degree

Tools

CRM

Job description

Title:

Patient Relations Analyst

Company:

Oak Street Health

Role Description:

The purpose of the Patient Relations Analyst (PRA) 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 Analysts (PRAs) are an integral part of the Oak Street Health care team. Patient Relations Analysts 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 Analysts 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 Analysts will report to the Associate Patient Relations Manager or Practice 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

What we're looking for

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

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

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical coverage, dental coverage, vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 02/26/2027

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