Medical Assistance Program Technician

THE POSITION

Are you eager to apply your analytical skills and technical knowledge in a Medical Assistance Program Technician role with the Department of Human Services? This position allows you to help verify important program data that ensures fair and accurate recovery processes. You will play a key part in reviewing claims and supporting the Commonwealth's financial integrity. Apply today to become part of a team that values precision, problem solving, and long-term public service.

DESCRIPTION OF WORK

This position supports the Statement of Claim (SOC) Creation Unit by reviewing, analyzing, and computing claims connected to medical assistance and related programs. It ensures accurate and complete information that supports claim recovery for the Department of Human Services. As a Medical Assistance Program Technician, you will perform the following duties:

* Claim Review:
Analyze medical, cash, and estate claims using procedures and regulations to determine proper recovery amounts

* Data Verification:
Examine history and eligibility records in the Client Information System (CIS) and the Provider Reimbursement and Operations Management Information System (PROMISe) systems to confirm accurate claim ranges

* Regulation Application:
Apply federal and state rules to calculate credits, debits, and liability standards for complex cases

* Information Gathering:
Contact facilities and offices to obtain essential long-term care and estate documentation

* Case Analysis:
Interpret medical forms, attorney letters, and client encounter data to identify injuries and fiscal details

* Record Reporting:
Provide claim statistics to supervisors for case tracking and management reports

Interested in learning more? Additional details regarding this position can be found in the position description.

Work Schedule and Additional Information:

* Full-time employment, 37.5 hours per week

* Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.

* Free parking is included with this position.

* Telework:
You may have the opportunity to work from home (telework) part-time, up to 3 days per week. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time.

Additional details may be provided during the interview.

* Salary:
In some cases, the starting salary may be non-negotiable.

* You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.

REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY

QUALIFICATIONS

Minimum Experience and Training Requirements:

* Three years of para-technical experience which involved reviewing and responding to inquiries relating to applicable services or benefits in health care insurance programs, health care services, or medical assistance program services; or

* Any equivalent combination of experience and training.

Other Requirements:

* You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency Guidelines.

* You must be able to perform essential job functions.

How to Apply:

* Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).

* If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.

* Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.

* Failure to comply with the above application requirements may eliminate you from consideration for this position.

* All application materials and interview responses must reflect the applicant's own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information.

Veterans:

* Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to (Use the "Apply for this Job" box below). and click on Veterans.

Telecommunications Relay Service (TRS):

* 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need…