Remote-Eligible Medical Assistance Claims Supervisor

Commonwealth of Pennsylvania; Harrisburg (Dauphin County); Hybrid; USD 65.000 - 90.000; Vollzeit

Zusammenfassung

Commonwealth of Pennsylvania seeks a Medical Assistance Program Technician Supervisor to lead a team that analyzes complex financial and medical data influencing statewide recovery efforts. You will guide staff, ensure accurate claim processing, and provide training and policy guidance within a structured environment.

The role involves supervising technicians who review cash, medical, and estate-related claims, directing daily priorities, and coordinating with supervisors and external partners.

Qualifikationen

• Two years of experience as a Medical Assistance 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.

Aufgaben

• Staff Leadership: Lead hiring, training, and guidance for technicians who review and compute statements of claim
• Work Oversight: Direct daily priorities, assign high-priority cases, and monitor workloads for timely completion
• Policy Guidance: Provide instruction on regulations, procedures, and claim standards related to estate and casualty recovery
• Data Review: Examine complex client encounter information and PACSES records to ensure precise posting of credits, debits, and claim adjustments
• Interdepartmental Communication: Represent technician staff in discussions with supervisors and external partners

Jobbeschreibung

Commonwealth of Pennsylvania seeks a Medical Assistance Program Technician Supervisor to lead a team that analyzes complex financial and medical data influencing statewide recovery efforts. You will guide staff, ensure accurate claim processing, and provide training and policy guidance within a structured environment.

The role involves supervising technicians who review cash, medical, and estate-related claims, directing daily priorities, and coordinating with supervisors and external partners.