What you will do!
MEDICAID: Provider Payment Specialist (3 positions). The purpose of this position is to assist the in-state and out-of-state health care provider community in a Customer Service Center environment to obtain correct and timely Medicaid reimbursement. The Provider Services Unit (PSU) Provider Services representatives conduct complex claims payment research and analysis to resolve claim processing issues and ensure accurate provider payments. This is done primarily via PSU's statewide Automatic Call Distribution (ACD) phone system. In addition, the representatives process electronic methods of provider inquiry such as the provider web-based functionality/email and provider correspondence. To accomplish this, the representatives must excel in customer service, must possess excellent independent problem-solving and decision-making skills, must be dedicated to responding to verbal and written inquiries from providers and others, and must have extensive knowledge of Medicaid billing requirements, and claims processing operations.
What's in it for you?
The public health division is a team of passionate individuals working to promote health across the lifespan of individuals, families, and communities. We value and support unique perspectives using a trauma-informed approach and aim to reflect these values in our hiring practices, professional development, and workplace. We are committed to racial equity as a driving factor to improve health outcomes for all communities that experience inequities.
WHAT WE ARE LOOKING FOR:
Minimum Qualifications
Three years of experience performing public contact and/or customer service duties comparable to the work of a Public Service Representative.
At least two years of this experience must include dealing with the public in-person or by phone providing information about services and programs; explaining rules, programs, and procedures; and/or providing assistance, explaining requirements, and gaining compliance.
Desired Attributes
Work Location: Salem/Marion; hybrid position
How to apply:
Complete the online application at oregonjobs.org using job number REQ-140082
Application Deadline: 10/23/2023
The Oregon Health Authority is at the forefront of lowering and containing costs, improving quality and increasing access to health care in order to improve the lifelong health of Oregonians. OHA is overseen by the nine-member citizen Oregon Health Policy Board working towards comprehensive health reform in our state.
Vision:
A healthy Oregon
Mission:
Ensuring all people and communities can achieve optimum physical, mental, and social well-being through partnerships, prevention, and access to quality, affordable health care.