Associate Claims Specialist, Medicaid *Remote*

Description

Providence Health Plan caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Providence Health Plan is calling an Associate Claims Specialist, Medicaid who will:

• Process claims for members, providers, and employers
• Provide and interpret detailed benefit, eligibility, and premium information on a broad portfolio of products
• Respond to claim inquires
• Resolve member issues or concerns
• Correctly analyze and adjudicate claims to reflect financial, check, and processing accuracy
  
  

Providence Health Plan welcome 100% remote work for applicants who reside in the following State:

• Oregon
  
  

Please Note The Following Important Detail Regarding This Role

• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Salem, Oregon
  
  

Required Qualifications For This Position Include

• 2+ years of experience with claims or customer service or accounting
  
  

Preferred Qualifications For This Position Include

• Bachelor's Degree
• 2+ years' customer service experience working in a healthcare or insurance environment (Examples: Clinical, Back office, Insurance Support, Etc.)
• 2+ years' experience processing insurance claims
• 2+ years' experience in membership accounting
  
  

Why Join Providence Health Plan?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

About The Team

Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Requsition ID: 327657

Company: Providence Jobs

Job Category: Claims

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 5018 OPS PHT CLAIMS MEDICAID OR REGION

Address: OR Salem 3993 Fairview Industrial Dr SE

Work Location: Providence Health Plans-Tech Headquarters-Salem

Workplace Type: Remote

Pay Range: $17.02 - $26.00

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.