Financial Representative 2 Intermediate (800043)
Posted 09/02/2026
Job ID:
169311
Job Description
1. Position Title / Job Description
Title: Financial Representative 2 Intermediate
Contract #: 4400031499
Bill Rate: $39.00
2. Type of Position
Full-time
3. Anticipated Start Date
To be determined
4. Anticipated End Date
To be determined
5. Length of Assignment
Long-term
6. Work Schedule
Hours per week: 37.5
Days: Monday–Friday
Daily hours: 7.5 hours per day
Weekend work: Not required
7. Work Location
Bureau of Fee-for-Service Programs
8. Position Overview / Duties
The consultant will support the Department of Human Services, Office of Medical Assistance Programs (OMAP), and will be expected to:
Be available for approximately 37.5 hours per week.
Possess a high school diploma or GED. Knowledge of Medical Assistance and billing processes is preferred. Customer service and call center experience are also preferred.
Demonstrate basic computer proficiency, including familiarity with Microsoft Office applications.
Primary Responsibilities:
Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment.
Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines.
Review Remittance Advice statements and explain payment details, including adjustments and take-backs.
Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding.
Evaluate claims for correct procedure codes, modifiers, and prior authorization requirements.
Determine eligibility for 180-day exception processing.
Assess recipient eligibility and covered services under Medical Assistance.
Assist recipients with reimbursement requests and educate providers on MA program requirements.
Review billing history to identify duplicate claims and prevent future denials.
Conduct dental history research as needed.
Identify issues requiring escalation to external agencies or the Bureau of Program Integrity.
Respond to inquiries from providers and recipients on a variety of topics.
Work Environment & Expectations:
The consultant may be required to work at one or more Department worksites, with a primary workstation at Commonwealth Towers.
Necessary equipment (desk, computer, etc.) will be provided.
The consultant must notify the Work Site Supervisor in advance or on the day of any absence.
9. Performance Evaluation Criteria
The consultant will be evaluated based on:
Quality of work
Work habits and professionalism
Growth in knowledge and skills
Communication effectiveness
Initiative and problem-solving ability
Contribution to a positive and productive work environment
10. Requestor Information
Name: April Lebo
Phone: 717-705-8194
11. Telework Eligibility
This position may be eligible for part-time telework. Currently, the expectation is to work onsite in Harrisburg two days per week; however, this is subject to change at the discretion of the Commonwealth supervisor.
Telework participation requires:
Supervisor approval
An executed telework agreement on file
Title: Financial Representative 2 Intermediate
Contract #: 4400031499
Bill Rate: $39.00
2. Type of Position
Full-time
3. Anticipated Start Date
To be determined
4. Anticipated End Date
To be determined
5. Length of Assignment
Long-term
6. Work Schedule
Hours per week: 37.5
Days: Monday–Friday
Daily hours: 7.5 hours per day
Weekend work: Not required
7. Work Location
Bureau of Fee-for-Service Programs
8. Position Overview / Duties
The consultant will support the Department of Human Services, Office of Medical Assistance Programs (OMAP), and will be expected to:
Be available for approximately 37.5 hours per week.
Possess a high school diploma or GED. Knowledge of Medical Assistance and billing processes is preferred. Customer service and call center experience are also preferred.
Demonstrate basic computer proficiency, including familiarity with Microsoft Office applications.
Primary Responsibilities:
Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment.
Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines.
Review Remittance Advice statements and explain payment details, including adjustments and take-backs.
Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding.
Evaluate claims for correct procedure codes, modifiers, and prior authorization requirements.
Determine eligibility for 180-day exception processing.
Assess recipient eligibility and covered services under Medical Assistance.
Assist recipients with reimbursement requests and educate providers on MA program requirements.
Review billing history to identify duplicate claims and prevent future denials.
Conduct dental history research as needed.
Identify issues requiring escalation to external agencies or the Bureau of Program Integrity.
Respond to inquiries from providers and recipients on a variety of topics.
Work Environment & Expectations:
The consultant may be required to work at one or more Department worksites, with a primary workstation at Commonwealth Towers.
Necessary equipment (desk, computer, etc.) will be provided.
The consultant must notify the Work Site Supervisor in advance or on the day of any absence.
9. Performance Evaluation Criteria
The consultant will be evaluated based on:
Quality of work
Work habits and professionalism
Growth in knowledge and skills
Communication effectiveness
Initiative and problem-solving ability
Contribution to a positive and productive work environment
10. Requestor Information
Name: April Lebo
Phone: 717-705-8194
11. Telework Eligibility
This position may be eligible for part-time telework. Currently, the expectation is to work onsite in Harrisburg two days per week; however, this is subject to change at the discretion of the Commonwealth supervisor.
Telework participation requires:
Supervisor approval
An executed telework agreement on file
About Harrisburg, PA
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