Oregon Medicaid Claims Analyst

Job Summary

Supporting the Non-Emergent Medical Transportation (NEMT) program, the full-time Medicaid Claims Analyst will review, process, and reconcile Medicaid claims remotely from Oregon, ensuring accuracy, compliance, and timely reimbursement while serving as a liaison between transportation providers and state Medicaid offices.

Key responsibilities

• Review, validate, and process NEMT claims in accordance with Medicaid policies and program guidelines
• Perform accurate billing and coding for NEMT claims using appropriate HCPCS/CPT codes
• Identify and resolve claim errors, discrepancies, and denials in coordination with providers and program staff

Required qualifications

• Two years' experience in Medicaid claims processing, billing, or healthcare reimbursement
• Experience working in transportation claims strongly preferred
• Knowledge of Medicaid billing, HCPCS/CPT coding, and claims submission requirements
• Education - Associate's degree in Business, Accounting, Healthcare Administration, or a related field; Bachelor's degree preferred
• Proficiency with claims management systems, billing software, and Microsoft Excel