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Provider Payment Specialist (Public Service Representative 4)
SALEM OR 97309
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-90659274

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State of Oregon

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
  1 Views, 0 Applications  
Provider Payment Specialist (Public Service Representative 4)
Provider Payment Specialist (Public Service Representative 4)



Provider Payment Specialist (Public Service Representative 4)


$2,874.00 - $4,144.00 Monthly


Salem, OR

Job Type



Oregon Health Authority

Job Number



6/20/2018 11:59 PM Pacific

+ Description

+ Benefits

+ Questions



The Oregon Health Authority, Provider Support Services Unit currently has a fantastic opportunity for a Provider Payment Specialist (Public Services Representative 4) in Salem, Oregon. This position assists the in-state and out-of-state health care providers to obtain correct and timely Medicaid reimbursements.

The Oregon Health Authority (OHA) promotes health equity by developing policies and programs to eliminate health disparities and reach health equity for all Oregonians.

What you will do!

You will conduct complex research and analysis to resolve claim processing issues and ensure accurate provider payments. This may be by reviewing and researching claims in electronic or hard copy form to identify and resolve problems. You will communicate your resolution to the providers.

To be successful in this role you will need experience in taking large number of phone calls, such as in a call center or a similar customer service center. Experience in billing or reviewing medical claims with regard to private insurance, Medicare or Medicaid. Additionally, experience with proprietary software, such as the Oregon Medicaid Management Information System (MMIS) is desirable.

What's in it for you?

Collaboration in an open office with a team of bright individuals to work with and learn from. We offer full medical, vision and dental with paid sick leave, vacation, personal leave and ten paid holidays per year. Consider joining our team and apply today!

This is a full-time, classified position and is represented by a union.

The Oregon Health Authority is an equal opportunity, affirmative action employer committed to work force diversity.

Qualifications, Required & Requested Skills


Three (3) years of experience performing public contact and/or customer service duties comparable to the work of a Public Service Representative.

At least two (2) 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 in a medical setting.

Preference may be given for experience providing service in an area of specialization specific to the position opening.


In addition to the minimum qualifications, applicants will be reviewed against the following criteria:

+ Experience and knowledge of computers and of MMIS functionalities.

+ Experience taking a large number of phone calls such as in a call center or other type of customer service center.

+ Experience billing or reviewing medical claims with regard to private insurance, Medicare, or Medicaid.

+ Experience in promoting a culturally competent and diverse work environment.

Applicants that meet the minimum qualifications and most closely match the desired attributes will be invited for an interview.

Additional Information


Normal professional office environment. Heavy use of computers, phones, electronic devices, and other office equipment. May sit or stand for long periods at open cubicle desk. May experience moderate noise levels. Regularly encounters demanding time frames, frequent interruptions and occasional irate customers. Travel (both in-state and out-of-state) may be required on a rare and infrequent basis.

You must have a valid driver's license with an acceptable driving record. If not, you must be able to provide an alternate method of transportation.


To apply, please follow these steps.

+ Complete the application. We will not accept a resume or position description in place of a completed application. Because of the volume of applications we receive, we do not review any attachments that we do not ask for.

+ The work experience and/or education section of your application must clearly demonstrate how you meet all of the minimum and special qualifications listed above. If it does not, we are required to disqualify it.

+ Complete the supplemental questions. Answers to the supplemental questions must be substantiated with the experience you listed in the work experience section of the application. If you say you have 10 years of experience in customer service, but don't show 10 years of experience in the application, you may be disqualified.

+ We highly encourage you to submit legible copies of transcripts even if you believe you qualify for this position without them.

Caution: If you fail to follow these instructions, your application will be disqualified. Incomplete or late applications will not be considered.


If you are offered employment, the offer will be contingent upon the outcome of an abuse check, criminal records check and driving records check, and the information shall be shared with the Oregon Health Authority (OHA), Office of Human Resources (OHR). Any criminal or founded abuse history will be reviewed and could result in the withdrawal of the offer or termination of employment.


If you are an eligible veteran and wish to claim veterans' preference points AND you also meet the minimum qualifications for this position, the points will be added to your score. To receive veterans' preference points you MUST attach the following required documentation to your electronic application.

> A copy of your DD214/DD215 form; OR a letter from the US Dept. of Veterans Affairs indicating you receive a non-service connected pension for the five (5) point preference.

> A copy of your DD214/DD215 form; AND a copy of your veterans' disability preference letter from the Dept. of Veterans Affairs for the ten (10) point preference.

For more information on veterans' preference points visit, and select veterans' preference.


If you need assistance to participate in the application process, you are encouraged to call Janice Wallace 503.945.5743 (voice) (Pacific Time) Monday through Friday. TTY users please use the Oregon Telecommunications Relay Service: 1-800-735-2900.

For technical support, please call toll free 1-855-524-5627, for customer service assistance.


The Oregon Health Authority (OHA) includes most of the state's health care programs, including Public Health, Health Policy and Analytics, Health Systems Division, and Oregon State Hospital. Incorporating the state's health care programs within one agency gives the state greater purchasing and marketing power to begin tackling the issues of cost, quality, and access to care.

OHA strives to create inclusive environments that welcome and value the diversity of the people we serve. OHA fosters fairness, equity, and inclusion to create workplace environments where everyone is treated with respect and dignity regardless of race, color, religion, sex, disability, physical stature, age, national origin, sexual orientation, gender identity, marital status, political affiliation and any other factor applicable by state or federal law.

The Oregon Health Authority does not offer VISA sponsorships or transfers at this time. Within three days of hire, you will be required to complete the US Department of Homeland Security's I-9 form confirming authorization to work in the United States.

Core benefits

Medical, vision and dental insurance

+ Comprehensive medical, dental and vision plans for the employee and qualified family members

+ $5,000 in employee basic life insurance

Retirement benefits

+ Membership in the Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP)

+ Employer paid defined benefit and defined contribution programs

**Effective November 1, 2016, SEIU represented employees who are Public Employee Retirement System (PERS) participating members will have their base salary increased by 6.95%. Upon becoming a PERS participating member, SEIU employees pay the employee 6% contribution to PERS.

Paid leaves and other benefits

+ Sick leave earned at the rate of 8 hours per a month with no maximum accumulation

+ Vacation leave earned at a minimum rate of 8 hours per month with accrual rate increases at 5-year increments

+ 24 hours personal leave earned each fiscal year

+ Ten paid holidays a year

The state also provides access to an innovative Employee Assistance Program that offers work-life counseling, along with homeowner, legal and family resources.

Optional benefits

+ Term life (employee, spouse or domestic partner, and dependents

+ Long-term and short-term disability

+ Accidental Death and Dismemberment

+ Long-term care (self and eligible family members)

+ Flexible spending accounts

+ Option to enroll in the Oregon Savings Growth Plan, a deferred compensation program offering a wide variety of investment options.

The following information describes typical benefits available for employees. Actual benefits received may differ by position or branch of government or be prorated for other than full time work.

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