Medicaid Eligibility & Coverage Coordinator II

State of Oklahoma; Oklahoma City (OK); On-site; USD 30,000 - 36,000; Full time

Benefits offered by this job

Health benefits

Retirement plan

Flexible Spending Accounts

Paid holidays

Vacation & sick leave

Tuition reimbursement

Wellness program

Job summary

The Oklahoma Health Care Authority (OHCA) seeks an ECS Coordinator II / IO Program Coordinator II to support SoonerCare and Medicaid programs in Oklahoma City. You will resolve member and provider inquiries, process claims, and handle enrollments while ensuring policy compliance and high-quality service.

The role requires strong communication, attention to detail, and the ability to navigate complex program guidelines.

Qualifications

• In-depth knowledge of Medicaid policies and program requirements.
• Strong written and verbal communication for member/provider inquiries.

Responsibilities

• Research and resolve provider and member inquiries, complaints, and denied claims.
• Investigate access to care issues, fraud, abuse, and quality concerns.
• Educate providers and members on SoonerCare policies and coverage.
• Manage enrollments, eligibility verifications, and claims reconciliation.

Skills

Communication skills

Customer service

Job description

The Oklahoma Health Care Authority (OHCA) seeks an ECS Coordinator II / IO Program Coordinator II to support SoonerCare and Medicaid programs in Oklahoma City. You will resolve member and provider inquiries, process claims, and handle enrollments while ensuring policy compliance and high-quality service.

The role requires strong communication, attention to detail, and the ability to navigate complex program guidelines.