Provider Payment Specialist-HOT (Public Service Rep 4) multiple positions

State of Oregon; Salem (OR); Hybrid; USD 48,000 - 67,000; Full time

Benefits offered by this job

Excellent medical, vision, and dental

Paid time off and holidays

PERS/OPSRP retirement

Hybrid work model

Job summary

Oregon Health Authority in Salem seeks a Provider Payment Specialist to support Medicaid reimbursement for in‑state and out‑of‑state providers. You will work in a provider‑dedicated Customer Service Center, handling inquiries via calls, email, and written correspondence, interpreting Medicaid rules and state regulations.

You will review, research, and resolve complex billing issues, perform claims research, and guide providers through program requirements.

Qualifications

• Three years of public contact and/or customer service experience.
• At least two years of this experience involving public inquiries by phone or in person.

Responsibilities

• Assist providers with Medicaid reimbursement and complex billing inquiries.
• Respond to provider questions via phone, email, and written correspondence.
• Review and evaluate electronic and paper claims for errors and discrepancies.
• Determine corrective actions and payment-impacting decisions in line with Medicaid policy.
• Manage high-volume workload and set priorities to meet timeframes while maintaining service quality.

Skills

Public service

Customer service

Policy interpretation

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft Teams

SharePoint

Job description

Initial Posting Date:

10/16/2026

Application Deadline:

10/25/2026

Agency:

Oregon Health Authority

Salary Range:

$4,312 - $5,988

Position Type:

Employee

Position Title:

Provider Payment Specialist-HOT (Public Service Rep 4) multiple positions

Job Description:

The Provider Services Unit (PSU) offers support to healthcare providers, assisting with claims reviews, payment approvals, and technical inquiries via phone and email, while also addressing billing issues with Medicaid members.

In this position, you will assist in-state and out-of-state health care providers in obtaining correct and timely Medicaid reimbursement through a provider-dedicated Customer Service Center environment. You will serve as a key customer service and technical support resource, using the statewide Automatic Call Distribution (ACD) phone system, provider web-based tools, email, and written correspondence to respond to complex Medicaid billing inquiries. You will interpret and explain Medicaid rules and Oregon Administrative Rules, researches and resolves provider questions, guides providers through billing and program requirements. You will also conduct complex claims payment research and analysis that supports accurate and timely reimbursement and promotes program integrity. You will review and evaluate electronic and paper claims, identify errors and discrepancies, determine corrective actions, and make payment‑impacting decisions in alignment with Medicaid policy and authorized claim‑resolution procedures. In managing a high‑volume workload, you will set work priorities to meet established timeframes and maintain responsive customer service.

You will have the privilege and responsibility to factor in the perspectives of diverse populations most harmed by social injustice and inequities including communities of color, immigrant groups, the disability and neurodivergent communities, veterans, older adults, individuals identifying as LGBTQIA+ and other communities that have been traditionally marginalized.

What We Are Looking For

Minimum Qualifications: These qualifications must be reflected in your application for consideration.

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

At least two 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.

Desired Attributes: The following are desired attributes that we have identified as key to success for this role at OHA. These are the attributes we are looking for in our top candidate. If you have any of these, please let us know in your application.

• Demonstrated experience providing advanced, person‑centered customer service while engaging diverse individuals and organizations, informed by cultural awareness, humility, and knowledge of social determinants of health.
• Demonstrated experience building and maintaining constructive, collaborative working relationships to support policies, programs, and services that promote equity, inclusion, and incorporation of lived experience.
• Demonstrated experience explaining, interpreting, and applying laws, rules, and policies through clear verbal communication and well‑documented written materials.
• Demonstrated experience researching, reviewing, and applying federal and state regulations, including Medicaid requirements, to support daily decision‑making and determine appropriate outcomes.
• Demonstrated experience researching, reviewing, and resolving complex healthcare claims, billing, reimbursement, or payment‑related issues while meeting productivity and quality expectations.
• Demonstrated experience synthesizing information from multiple sources and analyzing data using tools and technical information systems, including Microsoft Excel, Word, Outlook, Microsoft Teams, SharePoint, and healthcare claims‑processing systems, to support program operations and determine appropriate resolutions.
• Demonstrated experience providing training, technical assistance, or subject‑matter support related to policies, procedures, systems, billing, or program requirements.
• Demonstrated ability to independently plan, prioritize, and manage workload in a fast‑paced environment with shifting priorities.

About the Team & Benefits of Joining

We offer a workplace that balances productivity with enjoyment; promote an atmosphere of mutual respect, dedication, and enthusiasm. You will collaborate with a team of bright individuals to work with and learn from.

If you’re driven by the passion to do something meaningful that changes lives, the Oregon Health Authority is the place for you.

We also offer a competitive benefits package including:

• Excellent, low‑cost medical, vision, and dental coverage for you and your family.
• Optional benefits like life insurance, disability coverage, deferred compensation, and FSA options for health and childcare.
• Generous paid time off: 11 holidays, 3 personal days, monthly sick leave, and vacation accrual starting at 8 hours/month.
• Potential eligibility for the Public Service Loan Forgiveness Program.
• Retirement security through Public Employees Retirement System (PERS)/Oregon Public Service Retirement Plan (OPSRP).
• Training and development opportunities to grow your career with the State of Oregon.

Additional Details

• This announcement is for nine (9), full‑time, permanent, SEIU represented, Provider Payment Specialist (Public Service Representative 4 positions based in Salem, Oregon.
• This is hybrid with 10% in‑office expectation. “Review Section 4: Working Conditions” in the position description (linked above) for more information.
• Employment is contingent upon a criminal records check and a driving records check that meets OHA criteria at the time of hire and throughout employment.
• The salary listed is the non‑PERS qualifying range. If the successful candidate qualifies for PERS, the salary range will increase by 6.95%. For more information, see the Classification and Compensation page.
• The State of Oregon does not request or require your age, date of birth, attendance or graduation dates from an education institution during the application process.
• This position does not provide visa sponsorship. Within three days of hire, you will be required to complete I‑9 documentation and confirm authorization to work in the United States. OHA will use E‑Verify to verify work authorization. If your employment eligibility depends on sponsorship now or in the future, you will not meet the requirements for this position.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.
• We evaluate candidates based on their own skills and experience. Unless explicitly approved, outside resources – including Artificial Intelligence (AI) tools – are not permitted during assessments or interviews. Use of unauthorized resources will disqualify a candidate from further consideration.

Accommodation Requests (ADA): OHA provides reasonable accommodations under the ADA, which may include alternative formats of materials or language support. If you need an accommodation to apply for this position or participate in the selection process, please contact the recruiter listed above.

Helpful Links & Resources

How to Set Job Alerts | Workday Applicant FAQ | Oregon Health Authority | Facebook | Instagram | LinkedIn | Veterans Resources | What You Need to Know to Get the Job

_ The Oregon Health Authority is an affirmative action and equal opportunity employer, committed to fair employment practices and pay equity for all employees. We do not discriminate based on protected class _ – _ including race, sex, veteran status, disability, age, color, religion, national origin, marital status, or sexual orientation _ – _ and does not screen applicants based on current or past compensation. Salary is determined through a fair review of your education, experience, and training as it relates to the position. _

_ OHA is an anti‑racist organization working to eliminate health inequities and dismantle structural barriers that impact underserved communities. Join us in advancing our Strategic Plan and building a more equitable Oregon. _