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

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:
If this opportunity aligns with your strengths, background, and commitment to fostering inclusivity, we encourage you to apply! At the Oregon Health Authority (OHA), we value diversity and encourage applicants from all backgrounds and experiences to help us build a stronger, more equitable future for all.
Opportunity Awaits, Apply Today! – Provider Payment Specialist (Public Service Representative 4 (9)
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.
For a full review of the position description, please click here.
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.
Application Guidance
Your candidate profile and application are your opportunity to showcase your skills and interest in this role. Submissions will be reviewed for clarity, consistency, and communication skills, and for alignment with the guidance provided in the below:
Submission Requirements:· Resume – Attach your current resume that clearly outlines your education and work experience relevant to this position.· Supplemental Questions – Answer all supplemental questions completely and accurately.· Final Check! – Before submitting, confirm that all required materials are included, and your Workday Job History is current. The information in your application will be used