Third Party Liability Program Investigator
Third Party Liability Program Investigator
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
$ 50836 - 77321
1 Vacancy
Job Description
THE POSITION
Are you ready to join a dynamic team and use your investigative skills to make a positive impact in the Department of Human Services (DHS) Our Division of Third Party Liability in the Bureau of Program Integrity is seeking a driven and detailoriented Third Party Liability Program Investigator to help recover medial assistance expenditures. If you are ready to make your career aspirations a reality apply today and join us in making a difference in the field of health care!
DESCRIPTION OF WORK
As a Third Party Liability Program Investigator you will review documents from attorneys and insurance companies as well as research all possible sources for recovery of medical assistance funds. You will be responsible for notifying relevant parties of DHS interest initiating request of medical claims for review and following up to ensure payment of the departments claim. You will communicate legal authority to recover medical assistance funds. In this position you will have an opportunity to utilizeyour excellent communication skills both verbally and in writing to outline the departments claims and defend the departments position based on federal and state laws and regulations. Due to the nature of this work you must maintain a wellversed knowledge of laws and regulations in relation to medical assistance fund recovery.
Interested in learning more Additional details regarding this position can be found in theposition description.
Work Schedule and Additional Information:
- Fulltime employment 37.5 hours per week
- Work hours are 8:00 AM to 4:00 PM Monday Friday with a 30minute lunch.
- Telework:You may have the opportunity to work from home (telework) parttime up to 3 days a week. In order to telework you must have a securely configured highspeed 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.
- FREE parking
- Salary:In some cases the starting salary may be nonnegotiable.
- 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:
- 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
- One year of experience as a Third Party Liability Program Technician(Commonwealth job title or equivalent Federal Government job title as determined by the Office of Administration);or
- Any equivalent combination of experience and training.
Other Requirements:- You must meet thePA residency requirement.For more information on ways to meet PA residency requirements follow thelinkand 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 consideration 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 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.
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.
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.
Employment Type
Full-Time
