GOBHI

Call Center Representative

• Data Entry of ride and billing information for completed rides
• Maintains records and reports within areas of responsibility
• Processes incoming and outgoing mail
• Prepares denial letters to CCO
• Prepares and maintains records for quality control
• Fields incoming phone calls
• Interviews eligible clients to obtain sufficient information to take ride request
• Provides timely ride assignments to providers
• Assesses eligibility according to program regulations
• Documents rides that providers are unable to provide and assists with arrangements for alternative service delivery
• Takes messages and routes calls to other programs

Call Center Specialist

Systems Engineer

• Maintain and support GOBHI’s Human Resources Information Systems platform, including employee records, workflows, security permissions, reporting, and system updates.
• Administer and optimize Paylocity for payroll, onboarding, timekeeping, benefits, and employee data management.
• Leverage modules of Paylocity such as performance management to automate processes.
• Ensure accuracy, confidentiality, and integrity of all human resources data and records.
• Generate regular and ad hoc human resources reports, metrics, and analytics for leadership and compliance purposes.
• Coordinate and schedule candidate interviews with hiring managers and applicants.
• Assist with recruitment workflows, applicant tracking, and onboarding activities.
• Coordinate employee benefits enrollment, changes, terminations, and annual open enrollment activities.
• Administer paperwork for leave programs including the Family and Medical Leave Act, the Oregon Family Leave Act, Paid Leave Oregon, Americans with Disabilities Act accommodations, and other applicable leave programs.
• Track leave eligibility, documentation, communication, and return-to-work processes.
• Provide technical assistance and support to employees and managers regarding human resources systems and self-service tools.
• Assist with onboarding and off-boarding processes, including system setup and access management.
• Support human resources audits, accreditation activities, and organizational reporting needs.
• Other duties as assigned.

Human Resources Information Systems Analyst

Claims Specialist

• Review, validate, and process NEMT claims in accordance with Medicaid policies, GOBHI program guidelines, and contractual requirements.
• Perform accurate billing and coding for NEMT claims using appropriate HCPCS/CPT codes.
• Verify member eligibility, trip authorization, and service documentation prior to submission.
• Ensure claims are submitted within required timelines and track adjudication through final payment.
• Identify and resolve claim errors, discrepancies, and denials in coordination with providers and program staff.
• Maintain current knowledge of Medicaid billing codes, guidelines, and NEMT-specific requirements.
• Conduct regular audits of NEMT claims to detect and prevent errors, overpayments, or potential fraud.
• Support corrective action plans and recommend process improvements to strengthen billing integrity.
• Accurately code trips and services in compliance with Medicaid and NEMT guidelines.
• Prepare, review and submit billing batches to Medicaid and other payers.
• Reconcile claims against payments, identifying variances or unpaid balances.
• Collaborate with GOBHI finance staff to support accurate accounting and reporting.
• Generate and maintain reports on claims activity, denial rates, and reimbursement trends.
• Provide data analysis to identify cost drivers, claim patterns, and areas for improvement.
• Serve as a resource for NEMT providers regarding Medicaid billing procedures, documentation, and claim resolution.
• Upon supervisor’s approval and direction, update and maintain provider rate contracts.
• Provide training and technical assistance to providers on coding, billing, and submission processes.
• Other duties as assigned.

Medicaid Claims Analyst

Manager

• Provide case management, counseling, and foster home support for foster children and foster parents
• Conduct ongoing case management and respectfully engage with youth, family, treatment teams, community partners and other GOBHI staff to support the goals of the child and family teams
• Complete documentation within timelines and maintain compliance with Oregon Administrative Rules (OAR)
• Provide 24-hour crisis response at assigned times (in rotation with other team members)
• Gather and analyze information and confirm safe, therapeutic environments through interviews, observations, and other source materials of the proctor foster parents
• Conduct home visits, assure compliance, and confirm a safe environment for children in care
• Re-assess certified families on an ongoing basis and assure recertification compliance requirements are met at a minimum of every year
• Assist in the recruitment of new foster homes
• Coordinate services with other agencies to support the child in care and proctor foster parents

Foster Care Case Manager

• Provide foster children and foster parents with case management, counseling, and foster home support.
• Ensure that foster home is a sustainable alternative to residential care.
• Utilize Collaborative Problem Solving, conduct ongoing case management and respectfully engage with youth, family, treatment teams, community partners and other GOBHI staff to support the goals of the child and family teams.
• Complete documentation within timelines and maintain compliance with Oregon Administrative Rules (OAR).
• Provide 24-hour crisis response at assigned times (in rotation with other team members).
• Gather and analyze information and confirm safe, therapeutic environments through interviews, observations, and other source materials of the proctor foster parents.
• Conduct home visits, assure compliance, and confirm a safe environment for children in care, re-assess certified families on an ongoing basis and assure recertification compliance requirements are met at a minimum of every year.
• Assist in the recruitment of new foster homes.
• Coordinate services with other agencies to support the child in care and proctor foster parents, partner with child and family team to support the needs of the child in care, travel to community meetings and events to represent GOBHI.

• Case Management – utilize Collaborative Problem Solving, conduct ongoing case management and respectfully engage with youth, family, treatment teams, community partners and other GOBHI staff to support the goals of the child and family teams.
• Complete documentation within timelines and maintain compliance with Oregon Administrative Rules (OAR).
• Provide 24-hour crisis response at assigned times (in rotation with other team members).
• Certification – gather and analyze information and confirm safe, therapeutic, environments through interviews, observations, and other source materials of the proctor foster parents.
• Conduct home visits, assure compliance, and confirm a safe environment for children in care, re-assess certified families on an ongoing basis and assure recertification compliance requirements are met at a minimum of every year.
• Assist in the recruitment of new foster homes.
• Collaboration – Coordinate services with other agencies to support the child in care and proctor foster parents, partner with child and family team to support the needs of the child in care, travel to community meetings and events to represent GOBHI.

• Case Management – utilize Collaborative Problem Solving, conduct ongoing case management and respectfully engage with youth, family, treatment teams, community partners and other GOBHI staff to support the goals of the child and family teams
• Complete documentation within timelines and maintain compliance with Oregon Administrative Rules (OAR)
• Provide 24-hour crisis response at assigned times (in rotation with other team members)
• Certification – gather and analyze information and confirm safe, therapeutic, environments through interviews, observations, and other source materials of the proctor foster parents
• Conduct home visits, assure compliance, and confirm a safe environment for children in care, re-assess certified families on an ongoing basis and assure recertification compliance requirements are met at a minimum of every year
• Assist in the recruitment of new foster homes
• Collaboration – Coordinate services with other agencies to support the child in care and proctor foster parents, partner with child and family team to support the needs of the child in care, travel to community meetings and events to represent GOBHI