Financial Representative 2 (780557)

Job Description

Job Description

Description of Work / Duties :

Consultant will work with the Department of Human Services, Office of Medical Assistance Programs (Department). This is a professional level position responsible for various operational aspects of the Fee-for-Service Medical Assistance program. Consultant will perform a wide range of duties depending on the Division within the Bureau the position is assigned :

Possess a bachelor's degree. A combination of education and experience will be considered;

Be available as a consultant on average 37.5 hours per week;

Possess the ability to work as part of a workgroup or team for the unit's assigned projects. General research and on-line computer research skills are required;

Understand and be familiar with the operation of human service governmental operations at the federal, state, county and local levels. Project troubleshooting and problem-solving skills are required;

Possess basic computer skills, including familiarity with Microsoft Office programs.

For Division of Clinical Review, the Financial Representative 2 consultant duties include :

• Access and log Medical Assistance provider-submitted prior authorization requests and forward to designated nurse reviewers for clinical determinations.
• Field inquiries and coordinate with designated clinical staff for their resolution.
• Act as a backup for scheduling calls for designated nurse reviewers to external providers.
• Other administrative duties, as assigned.

For the Division of Provider Enrollment, the Financial Representative 2 consultant duties include :

Consultant, when requested, will work at one or more of the Department's work sites. Consultant’s primary work station will be at the Commonwealth Towers located at 333 Walnut Street in Harrisburg, PA. Consultant will be provided with a desk, computer, phone, and all items necessary for him / her to complete assignments. If Consultant is unable to appear at the scheduled work site at the pre-determined times, notification must be made to the Work Site Supervisor either prior to date or on date of absence.

Consultants will be evaluated on :

About Us :

TulaRay partners with clients to create staffing solutions that meet unique organizational needs. Our services are designed to reduce administrative burdens, protect your brand, and improve assignment time-to-fill. We believe that mutually successful client relationships are built on lasting quality and exceptional customer service. We pride ourselves on our uncompromising commitment to high-quality emergency management & healthcare personnel, while ensuring that our clients are taken care of with personalized attention. TulaRay manages total compliance and respectfully supports hundreds of professionals and patient-centered programs.

TulaRay is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation, please let us know by visiting our website at tularay.com