Medicaid Eligibility & Coverage Coordinator II

okgov; Oklahoma; On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

State benefits

Retirement plan

11 paid holidays annually

Vacation & sick leave

Job summary

The Oklahoma Health Care Authority (OHCA) is seeking an Eligibility and Coverage Services Coordinator II to support SoonerCare and other Medicaid programs in Oklahoma City. This full-time role handles member and provider inquiries, enrollment and eligibility verifications, and claims processing to ensure accurate, compliant service.

You will stay current on policy revisions and collaborate with multiple departments to maintain high-quality service, with regular weekday hours and full-state

Qualifications

• 1 year of clerical office or customer service experience plus 2 years in customer service.

Responsibilities

• Research and resolve member inquiries, provider inquiries, and denied claims.
• Investigate access to care issues, fraud, abuse, and quality assurance concerns.
• Interpret and communicate SoonerCare policies and procedures to providers and members.
• Process and resolve enrollment, eligibility verifications, and plan changes.

Skills

Medicaid policies

Member/provider inquiries resolution

Claims processing

Attention to detail

Policy compliance

Education

Clerical office experience

Customer service experience

Job description

The Oklahoma Health Care Authority (OHCA) is seeking an Eligibility and Coverage Services Coordinator II to support SoonerCare and other Medicaid programs in Oklahoma City. This full-time role handles member and provider inquiries, enrollment and eligibility verifications, and claims processing to ensure accurate, compliant service.

You will stay current on policy revisions and collaborate with multiple departments to maintain high-quality service, with regular weekday hours and full-state