Health Insurance Analyst, Administrative Specialist 1

Oregon Department of Human Services

. Ensure third-party insurance information is entered accurately and on time .

Posted 10/21/2026full-timeSalem • Oregon • United StatesJuniorMid-Level💰 $3,798 - $5,193 per monthWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing third-party insurance information, ensuring accuracy and compliance with Medicaid regulations. Proficient in utilizing medical billing systems and maintaining detailed records while effectively communicating with clients and insurance carriers.

Highest-signal resume keywords

Third Party Resource ManagementMedicaid Management Information SystemMedical Billing SystemsData Entry and VerificationHealth Insurance Benefits Coordination

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Records ProcessingData Gathering and SortingAlphanumeric Data EntryInsurance Information VerificationReferral Processing

Soft Skills

Effective CommunicationAttention to DetailTeam Coordination

Tools & Technologies

Microsoft TeamsComputer-Based Tools

Industry Keywords

MedicaidManaged CareLean Process ImprovementConfidentiality RequirementsChild Protective Services

About the role

Key responsibilities & impact

Ensure third-party insurance information is entered accurately and on time
Help prevent unnecessary Medicaid costs and support recovery of incorrect payments
Clear outdated exemptions so clients can enroll in appropriate Managed Care plans
Participate in Lean-focused teams and committees for continuous process improvement
Coordinate daily workflow and support team operations
Complete leadership assignments and review updated policies and procedures
Review, analyze, and research Third Party Resource referrals for completeness and Medicaid Management Information System eligibility
Verify current and past Medicaid coverage using system eligibility screens
Research incomplete referral histories and return unverified referrals when necessary
Identify Child Protective Services and Domestic Violence cases and protect confidentiality and safety
Process referrals from phone calls, inbox submissions, webforms, internal reports, and other sources
Contact insurance carriers to request and verify policy information and explain applicable laws, rules, and confidentiality requirements
Gather and assess insurance information from carrier websites
Enter, update, and maintain Third Party Resource records in the Medicaid Management Information System
End special Medicaid exemption conditions when appropriate to support Coordinated Care Organization enrollment
Notify referral sources of actions taken
Rotate answering calls throughout each shift
Work remotely with Microsoft Teams communication and weekly virtual meetings
Attend the Salem office quarterly for meetings, training, business, or operational needs

Requirements

What you’ll need

Two years of secretarial or basic administrative support experience including records processing, generating documents, and gathering and sorting data; OR an associate degree in general office occupations and one year of related experience; OR an equivalent combination of education and experience
Experience coordinating and understanding health insurance benefits
Experience navigating and operating medical billing systems and related computer-based tools
Experience accurately researching, entering, updating, and retrieving alphanumeric data
Effective communication via telephone, written correspondence, and in-person interactions
Exceptional attention to detail when reviewing, verifying, and processing information
Required cover letter describing how the candidate meets each essential attribute and minimum qualification
Resume or completed work history profile
Ability to work remotely with extended periods of computer and phone work
Must be authorized to work in the United States; no visa sponsorship
Successful criminal history and background check
Availability to work 8:00am–5:00pm Pacific Standard Time

Benefits

Comp & perks

Employee Resource Group communities that promote shared learning
Cost of Living Adjustments
Annual salary increases until reaching the top of the listed salary range
Amazing benefits package
Possible eligibility for the Public Service Loan Forgiveness Program
Veterans’ and Oregon National Guard preference