Oregon Department of Human Services
Oregon Department of Human Services
Oregon Адамдарға қызмет көрсету департаменті — Орегон бойынша адамдардың денсаулығын, қауіпсіздігін және әл-ауқатын қолдайтын штаттық мемлекеттік орган. Оның қызметі балалардың әл-ауқатын қорғау, өзін-өзі қамтамасыз ету қызметтері, сондай-ақ қарт адамдар мен мүгедектігі бар адамдарға қолдау көрсету бағыттарын қамтиды. Департамент жеке тұлғаларға, отбасыларға және қауымдастықтарға негізгі қажеттіліктерін өтеуге көмектесетін бағдарламаларды жүзеге асыру үшін штаттық мекемелермен және қоғамдастық серіктестерімен ынтымақтасады. Оның ауқымды мемлекеттік қызметкерлер құрамы штат бойынша әлеуметтік және адамға көрсетілетін қызметтерді басқару мен ұсынуға үлес қосады.

Health Insurance Analyst and Administrative Specialist 1

Research third-party insurance and process records to support Oregon Medicaid clients and recover incorrect payments. This hybrid role includes quarterly visits to the Salem office.

Сипаттама

  • Enter third-party insurance details accurately and on schedule.
  • Help reduce unnecessary Medicaid costs and recover incorrect payments.
  • Remove outdated exemptions so clients can enroll in appropriate managed care plans.
  • Contribute to Lean teams and committees focused on improving processes.
  • Coordinate daily workflows and support team operations.
  • Complete leadership assignments and review revised policies and procedures.
  • Review and research Third Party Resource referrals for completeness and Medicaid Management Information System eligibility.
  • Check current and past Medicaid coverage in eligibility screens.
  • Investigate incomplete referral histories and return referrals that cannot be verified.
  • Identify Child Protective Services and Domestic Violence cases, safeguarding confidentiality and safety.
  • Process referrals received by phone, inbox, webform, internal report, or other channel.
  • Contact insurers to request and verify policy details and explain applicable laws, rules, and confidentiality requirements.
  • Collect and assess insurance details from carrier websites.
  • Enter, update, and maintain Third Party Resource records in the Medicaid Management Information System.
  • End special Medicaid exemption conditions when appropriate to support enrollment in a Coordinated Care Organization.
  • Inform referral sources of actions taken.
  • Take turns answering calls during each shift.
  • Work remotely using Microsoft Teams and attend weekly virtual meetings.
  • Visit the Salem office quarterly for meetings, training, business, or operational needs.

Талаптар

  • Two years of secretarial or basic administrative support experience, including records processing, document preparation, and gathering and sorting data; or an associate degree in general office occupations plus one year of related experience; or an equivalent combination of education and experience.
  • Experience coordinating and understanding health insurance benefits.
  • Experience using medical billing systems and related computer tools.
  • Experience accurately researching, entering, updating, and retrieving alphanumeric data.
  • Effective communication by phone, in writing, and in person.
  • Strong attention to detail when reviewing, verifying, and processing information.
  • A cover letter explaining how you meet each essential attribute and minimum qualification.
  • A resume or completed work history profile.
  • Ability to work remotely and spend extended periods using a computer and phone.
  • Authorization to work in the United States; visa sponsorship is unavailable.
  • Successful completion of a criminal history and background check.
  • Availability to work 8:00 a.m. to 5:00 p.m. Pacific Standard Time.

Артықшылықтар

  • Employee Resource Group communities supporting shared learning.
  • Cost-of-living adjustments.
  • Annual salary increases until the top of the listed salary range is reached.
  • Benefits package.
  • Potential eligibility for the Public Service Loan Forgiveness Program.
  • Preference for veterans and Oregon National Guard members.

Ұқсас жұмыс орындары

PNC

Real Estate Valuation Specialist, Administrative Reviewer

PNC

Review real estate appraisals and revalidations for PNC, checking compliance with appraisal policy, regulations, and professional standards. Conduct market research, advise on appraiser approval status, and train staff.

Ашу
PNC

Real Estate Valuation Specialist, Administrative Reviewer

PNC

Review real estate appraisals and revalidations for policy and regulatory compliance at PNC. The role also covers market research, appraiser approval recommendations, and staff training.

Ашу
Oregon Department of Human Services

Representative Payee Administrative Specialist

Oregon Department of Human Services

Manage veterans’ and Social Security benefits, budgets, and fiduciary finances for the Oregon Department of Veterans’ Affairs. The role is based in Salem, with hybrid work potentially available after one year.

Ашу
Oregon Department of Human Services

Research Assistant and Administrative Specialist 1

Oregon Department of Human Services

Support Oregon tax administration through county data collection, reporting, and publication production. This hybrid Salem role uses Excel, Microsoft Office, and Adobe tools.

Ашу
Oregon Health & Science University Foundation

Administrative Coordinator, Otolaryngology Education

Oregon Health & Science University Foundation

Coordinate fellowship and medical student programs for OHSU, Oregon’s public academic health center, including accreditation, learner schedules, and educational events.

Ашу