Financial Services Representative II

2 weeks ago

Harrisburg, Pennsylvania, United States TulaRay Full time
Job Overview

Minimum Qualifications:

· A minimum of one (1) year of professional experience in developing, implementing, or assessing human services, sociology, public health, healthcare services, or health insurance programs; accompanied by a bachelor's degree in Human Services or a related Education Field.

OR

· An equivalent combination of experience and training that includes at least one (1) year of professional experience in the aforementioned areas.

· Proficient computer skills, particularly in Microsoft Office Suite.

Key Responsibilities:

· The Financial Representative contributes expertise and practical experience gained from roles in administrative functions and human services management.

· Responsibilities include managing diverse projects that vary in duration and complexity, requiring adaptability and a high level of proficiency.

· Projects necessitate a strong ability to utilize, interpret, and analyze data from the Department's software, systems, databases, and online resources.

· May involve training and providing support for these systems to both internal and external stakeholders.

· Respond to inquiries from various departments, external entities, and applicants, both verbally and in writing.

· Coordinate the development and maintenance of IT systems to support program operations and track performance metrics.

· Review and suggest updates to program manuals and materials in light of policy changes.

· Develop and revise forms, reports, and documentation.

· Oversee data collection efforts to prepare comprehensive reports.

· Potential involvement in provider recruitment, enrollment, and outreach initiatives.

· Responsible for monitoring, reviewing, and reconciling billing and payment discrepancies affecting both consumers and providers.

· Ensure the accuracy of existing payments and update systems as necessary.

· Monitor financial and billing issues related to service provision under the Medical Assistance Program, assisting in the evaluation and analysis of special program initiatives.

· Ensure compliance with financial reporting requirements at both state and federal levels, and contribute to drafting findings based on non-compliance.

· Identify systemic issues, propose solutions, and collaborate with relevant Department offices for implementation.

· Assist with project development tasks for new and innovative projects assigned to the unit.

· Gather and organize diverse program and technical information for executive staff to utilize in public forums and respond to inquiries from other agencies and legislative bodies.

· Participate in fair hearing preparations as needed.

· Attend trainings, meetings, and conferences on behalf of the Bureau as assigned.

· Assist in tracking information, reviewing reports, and preparing documentation for supervisors and relevant agencies.

· May oversee program enrollment, funding, and effectiveness metrics.

· Perform other related duties as assigned.

About TulaRay:

TulaRay collaborates with clients to deliver tailored staffing solutions that address unique organizational needs. Our services aim to alleviate administrative burdens, safeguard your brand, and enhance assignment efficiency. We believe that successful client relationships are founded on quality and exceptional customer service. TulaRay is committed to high-quality emergency management and healthcare personnel, ensuring personalized attention for our clients. We uphold total compliance and support numerous professionals and patient-centered programs.

TulaRay is proud to be an affirmative action employer, dedicated to providing equal employment opportunities regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or veteran status. If you require accommodations due to a disability or special need, please inform us through our website.

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