Job Information
Commonwealth of Pennsylvania Third Party Liability Program Investigator in Harrisburg, Pennsylvania
Reference #: 4352945 THE POSITION If you are a motivated individual who is interested in investigative and recovery work, this may be the career move for you! The Department of Human Services (DHS), Division of Third Party Liability in the Bureau of Program Integrity is searching for a Third Party Liability Program Investigator to join our team. This position is responsible for the recovery of medical assistance expenditures that were incorrectly or provisionally paid on behalf of DHS recipients. This is a statewide program headquartered in the Recovery section of the Office of Administration. You deserve this so apply today and take the next step of your career with this exciting public service position!
DESCRIPTION OF WORK Duties for this position include investigating cash and medical assistance claims for personal injury and estate cases, and assessing collection of potential cash and medical assistance claims against third parties and recipients. Your work is performed based on developing and maintaining a working knowledge of legal and regulatory aspects of cash and medical benefits and the claims computation process. You also negotiate settlements based on logic and facts, and review payments and resolve discrepancies.
Additional duties include working in conjunction with other units, executing sound verbal and written communications, maintain individual active case records on a daily basis, and developing a working knowledge of pertinent electronic data systems.
Interested in learning more? Additional details regarding this position can be found in the.
Work Schedule and Additional Information:
Full-time employment, 37.5-hour work week Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with 30-minute lunch. Telework: Under the current Administration, this position may have the opportunity to work from home (telework) part-time up to three (3) days week. In order to telework, you must have a securely configured high-speed internet connection. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The Department of Human Services provides excellent benefits, pay increases, paid leave and holidays, as well as opportunities for career advancement. FREE PARKING! Salary:In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Please check your email, including spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY QUALIFICATIONS Minimum Experience and Training Requirements:
One year of experience as a Third Party Liability Program Technician; or Four years of experience in the investigation of Health Care and personal injury records, correspondence and documents used in establishing legal liability, or determining approval of health care and personal injury insurance claims; or An equivalent combination of experience and training. Other Requirements:
You must meet the . For more information on ways to meet PA residency requirements, follow the and click on Residency. 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 consi eration for this position. 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 and click the Veterans' Preference tab or contact us at . Telecommunications Relay Service (TRS):
711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
EXAMINATION INFORMATION
Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam). Your score is based on the detailed information you provide on your application and in response to the supplemental questions. Your score is valid for this specific posting only. You must provide complete and accurate information or: your score may be lower than deserved. you may be disqualified. You may only apply/test once for this posting. Your results will be provided via email.
The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.