Health Insurance Specialist at CVS Health

Columbus, Ohio, United States

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Not SpecifiedCompensation

Entry Level & New Grad, Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

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

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 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

Skills

Medicare

Insurance Coverage

Patient Advocacy

Eligibility Verification

Medical Billing

Healthcare Navigation

Benefits Explanation

Open Enrollment

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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