Financial Representative

3 weeks ago


Harrisburg, Pennsylvania, United States TulaRay Full time
Job Summary

TulaRay is seeking a highly skilled Financial Representative to join our team. As a Financial Representative, you will be responsible for performing remote and on-site monitoring sessions for enrolled providers, reviewing providers' documentation, and interviewing provider staff and stakeholders.

Key Responsibilities
  • Conduct remote and on-site monitoring sessions for OLTL enrolled providers.
  • Review providers' written documentation to ensure fiscal requirements are met.
  • Interview provider staff, stakeholders, and consumers as part of the monitoring process.
  • Assist in gathering background data to determine providers' strengths and weaknesses.
  • Prepare and update data collection tools.
  • Organize monitoring data into quality management reports.
  • Perform research and analyze material and data to develop conclusions.
  • Communicate findings effectively.
  • Research applicable laws, regulations, and policies governing provider entities.
  • Assist in preparing monitoring objectives.
  • Identify indications of fraud, abuse, or deficiencies.
  • Perform monitoring fieldwork and participate in conferences and meetings.
  • Assess provider entities' compliance with regulations and guidelines.
  • Compile data for report compilation.
  • Determine appropriateness of costs claimed for DHS subsidy.
  • Identify causes of inefficient or uneconomical practices.
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 pride ourselves on our commitment to high-quality emergency management & healthcare personnel, while ensuring that our clients are taken care of with personalized attention.

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.



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