Provider Billing & Compliance Specialist
- Oregon Health Authority
- Salem, OR (Hybrid)
- Jul 17, 2023
Job Description
Application Deadline: 07/24/2023
Salary Range: $3,885 - $5,936
Work Location: Salem/Marion; hybrid position
Do you have an interest in helping Oregonians in need by assisting Providers and OHP Members with healthcare claims and bills? Do you have at least three years of experience 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? We look forward to hearing from you!
Click Here to view a Dashboard of all current recruitments for the Health Systems Division. The specific positions associated with this posting are listed under REQ-132896. The dashboard identifies the business area (“Section”) and Unit for each position and also provides a link to a position description to offer you greater context for the role. Section 1 of the position description outlines Position Information, including Work Location and Supervisor Name. Section 3 outlines the Description of Duties.
This posting will be used to fill one (1) permanent, full-time position.
What you will do!
Conducts research on billing complaints from providers and members regarding their Medical, Dental, Vision and Pharmacy services. Conducts complex claims payment research and analysis to resolve claims processing issues and ensure accurate provider payments. Works with enrolled and non-enrolled providers to resolve billing issues. Primary contact for Provider Support Representatives and Program Analysts within the Provider Support Services unit.
Leadwork is on a recurring daily basis, the employee has been directed to perform substantially all of the following functions to orient new employees, if appropriate; assign and reassign tasks to accomplish prescribed work efficiently; give direction to workers concerning procedures; transmit established standards of performance to workers; review work of employees for conformance to standards; and provider informal assessment of workers performance to supervisor and/or manager.
What’s in it for you?
- A position where your input and contributions impact the citizens of Oregon.
- 8 hours of vacation leave and 8 hours of sick leave per month
- Nearly unbeatable medical, vision, and dental benefits
- Pension and retirement programs
OHA values health equity, service excellence, integrity, leadership, partnership, innovation and transparency. Click here, to learn more about OHA’s mission, vision and core values. OHA’s 10-year goal is to eliminate health inequities. OHA’s health equity definition is “Oregon will have established a health system that creates health equity when all people can reach their full potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances. Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address: the equitable distribution or redistributing of resources and power; and recognizing, reconciling, and rectifying historical and contemporary injustices.”
WHAT WE ARE LOOKING FOR:
Required Attributes
Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve.
A Bachelor's Degree in Business or Public Administration, Behavioral or Social Sciences, or a degree related to the agency program that demonstrates the capacity for the knowledge and skills;
OR
Any combination of experience or education equivalent to three years technical-level experience that typically supports the knowledge and skill requirements listed for the classification.
Requested Attributes:
- Experience supporting the implementation of policies, projects and programs at the community, state, and/or national level that advance health equity, address systemic health disparities, and elevate the voice of community and those with lived experience.
- Experience within the context of healthcare claims processing.
- Knowledge of federal requirements, state rules and program requirements for the Oregon Medicaid Program
- Demonstrates skills in the following areas:
- Excellent customer service and person-centered engagement
- Team collaboration & workload collaboration
- Technical and computer skills
- Workload planning & prioritization
- Responsiveness and problem-solving skills
- Written and oral communication, including preparation of reports and presentations
How to Apply
Please apply via Workday at the following link:
The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity and anti-racism.
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Salary
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.