Provider Payment Specialist – three (3) positions (Public Service Representative 4)

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.

• We offer exceptional medical, vision and dental benefits packages for you and your qualified family members, with very low monthly out-of-pocket costs. Try this free virtual benefits counselor by clicking here: https://www.oregon.gov/oha/pebb/pages/alex.aspx
• Paid Leave Days:
  • 11 paid holidays each year
  • 3 additional paid "Personal Business Days" each year
  • 8 hours of paid sick leave accumulated every month
  • Progressive vacation leave accrual with increases every 5 years
• Pension and retirement programs
• Optional benefits include short-term disability, long-term disability, deferred compensation savings program, and flexible spending accounts for health care and childcare expenses.
• Click here to learn more about State of Oregon benefits.

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

• Experience in creating and maintaining a work environment that is respectful and accepting of diversity among team members and the people we serve.
• 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
  • Data reporting
  • Team collaboration & workload collaboration
  • Training and technical assistance
  • Technical and computer skills
  • Workload planning & prioritization
  • Responsiveness and problem-solving skills
  • Written and oral communication, including preparation of reports and presentations

 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