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Medicaid Insurance Jobs in Oregon (NOW HIRING)

Kairos

Insurance Coordinator

Grants Pass, OR · On-site

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Kairos

Insurance Coordinator

Grants Pass, OR

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Kairos

Insurance Coordinator

Grants Pass, OR · On-site

$24.79 - $30.13/hr

Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing ... Verify insurance eligibility and behavioral health benefits prior to services * Confirm coverage ...

Cedar Sinai Park

Business Office Manager

Portland, OR

$25.18 - $30.28/hr

Maintains a working knowledge of the state long term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long term care insurance programs. Ensures pre-admission ...

Cedars-Sinai Park

Business Office Manager

Portland, OR · On-site

$25.18 - $30.28/hr

Maintains a working knowledge of the state long term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long term care insurance programs. Ensures pre-admission ...

Legacy Health

Insurance Verification Splst

Portland, OR · On-site

$21.25/hr

Specializes in payor type such as Commercial, Workers Compensation, Medicare, Medicaid, or Other ... Hospital insurance verification experience preferred. Skills : * Strong written and verbal ...

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Medicaid Insurance information

What is Medicaid insurance?

Medicaid insurance is a government-funded health coverage program in the United States designed to help low-income individuals and families access medical care. It provides a range of health benefits, including doctor visits, hospital stays, prescriptions, and preventive services, often at little or no cost to eligible participants. Medicaid is jointly funded by federal and state governments, and eligibility criteria can vary by state. The program plays a crucial role in ensuring vulnerable populations receive necessary healthcare services.

What are the key skills and qualifications needed to thrive as a Medicaid insurance specialist?

To thrive as a Medicaid Insurance Specialist, you need deep knowledge of healthcare regulations, Medicaid eligibility requirements, and claims processing, typically supported by a background in healthcare administration or insurance. Familiarity with Medicaid management information systems (MMIS), electronic health records (EHR), and billing software is essential. Attention to detail, strong communication, and problem-solving skills help specialists navigate complex cases and assist clients effectively. These skills ensure accurate processing of claims, compliance with regulations, and timely support for beneficiaries.

What are some common challenges faced by professionals working in Medicaid insurance, and how can they be addressed?

Professionals in Medicaid insurance often navigate complex regulatory requirements and frequent policy changes, which can be challenging to keep up with. Additionally, the role may involve managing high caseloads and addressing the diverse needs of members from various backgrounds. Staying updated through regular training, collaborating closely with team members, and leveraging technology for case management can help address these challenges. Open communication and a strong support network within the organization also contribute to effective problem-solving and professional growth.

What is the difference between Medicaid Insurance vs Medicaid Case Manager?

AspectMedicaid InsuranceMedicaid Case Manager
CredentialsVaries; often none required or state-specific certificationsTypically requires a social work, nursing, or healthcare-related degree and certification
Work EnvironmentInsurance companies, government agencies, healthcare providersCommunity settings, healthcare facilities, government offices
Employer & IndustryHealth insurance providers, government programsState Medicaid agencies, healthcare organizations
Job FocusCoverage, policy management, billingClient advocacy, eligibility, care coordination

Medicaid Insurance involves managing coverage policies and billing, while Medicaid Case Managers focus on assisting clients with eligibility, care plans, and resource coordination. Both roles are essential in the Medicaid system but serve different functions within the healthcare industry.

How do you become a Medicaid Insurance specialist?

To become a Medicaid Insurance specialist, individuals typically need a high school diploma or equivalent, with some roles requiring a bachelor's degree in health administration, social work, or related fields. Relevant skills include knowledge of Medicaid policies, strong communication, and proficiency with healthcare management software; certifications such as Certified Medicaid Specialist can enhance job prospects.

How to become a Medicaid insurance case worker?

To become a Medicaid insurance case worker, candidates typically need a high school diploma or equivalent, with some positions requiring an associate's or bachelor's degree in social work, healthcare, or a related field. Relevant skills include knowledge of Medicaid policies, strong communication, and computer proficiency; certification or training in case management may also be beneficial. Employment often requires background checks and familiarity with healthcare management systems.

What are popular job titles related to Medicaid Insurance jobs in Oregon?

For Medicaid Insurance jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Medicaid Insurance jobs in Oregon look for?

The top searched job categories for Medicaid Insurance jobs in Oregon are:

Medicaid Insurance jobs near you
Infographic showing various Medicaid Insurance job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Insurance Coordinator

Portland, OR • On-site

Fresenius Medical Care
Health Care and Social Assistance • 10K+ employees

6.7

Company rating: 6.7 out of 10

Based on 1,333 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers

People enjoy working here

Recommended by students

Respectful managers

Learn more about Fresenius Medical Careexternal

Full-time

Posted 25 days ago

Job description

PURPOSE AND SCOPE:
Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:
  • Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA).
  • Ensures patients have followed through with the application process.
  • Obtains premium statements and signatures from patients.
  • Discusses situation and options if employment status changes or other situations change.
  • Completes and follows up with paperwork when claims are disputed for non-payment.
  • Collects necessary documents to completed initial and annual indigent waivers.
  • Discusses insurance options when insurance contracts are terminated.

Responsibilities involving Medicare and Medicaid include but are not limited to:
  • Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.
  • Discussing the Medicare application with eligible patients and assisting with the application process.
  • Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.
  • Completing the annual open enrollment and Medicare reinstatement papers with the patients.
  • Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.
  • Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts
  • Works with patients to evaluate personal financial information and make determination for indigent program.
  • Completes initial Indigent waiver applications.
  • Tracks and completes annual indigent waiver applications.
  • Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department.
  • Addresses any identified anomalies or discrepancies, researches and answers questions as needed.
  • Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.
  • Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified.
  • Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes
  • Completes monthly audit exam to stay current on internal policies.
  • May present on insurance and financial assistance options to patients as necessary.
  • Assist with various projects as assigned by direct supervisor.
  • Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License.
EDUCATION:
  • Bachelor's Degree required; Social Work or other Healthcare focus preferred.

EXPERIENCE AND REQUIRED SKILLS:
  • 2 - 5 years' related experience; healthcare industry preferred.
  • Experience with Medicare, Social Security and Medicaid systems a plus.
  • Past patient interaction a plus.
  • Excellent written and communication skills.
  • A strong customer service philosophy.
  • Strong organizational and time management skills.
  • Ability to work independently.
  • Proficient with PCs and Microsoft Office applications.
  • Valid Driver's License

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
Fresenius Medical Care logo

About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

Social media

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Benefits

Hours and flexibility

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