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Oregon Department of Human Services
Oregon Department of Human Services
Alimente și băuturiAsistență medicalăConsultanță
Departamentul pentru Servicii Umane din Oregon este o agenție guvernamentală a statului care sprijină sănătatea, siguranța și bunăstarea oamenilor din întregul Oregon. Activitatea sa acoperă protecția copilului, serviciile pentru autonomie și sprijinul acordat persoanelor în vârstă și persoanelor cu dizabilități. Departamentul colaborează cu agențiile statului și cu partenerii comunitari pentru a furniza programe care îi ajută pe indivizi, familii și comunități să își îndeplinească nevoile esențiale. Personalul său numeros din serviciul public contribuie la administrarea și furnizarea serviciilor sociale și umane în întregul stat.
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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.

USStatele Unite ale AmericiiOROregon
3.798 $ – 5.193 $ / lună
HibridNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăAsistent administrativ

Descriere

  • 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  • Remove outdated exemptions so clients can enroll in appropriate managed care plans.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.

Cerințe

  • 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.

Beneficii

  • 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.

Locuri de muncă similare

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USStatele Unite ale AmericiiOROregon
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HibridNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăAsistent administrativ

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