Human Services Program Specialist
About The Position
As a Human Services Program Specialist with the Department of Human Services, you take on a key role in assisting providers and supporting program operations. This position keeps you engaged as you answer questions, research issues, and ensure claims follow policy. You help maintain smooth processes across multiple systems and programs. Be part of a team where your contributions make a real difference every day! This position supports providers and program operations by researching issues, resolving claim errors, and guiding others through billing processes. It helps ensure that payments and procedures follow all regulations and system requirements.
Requirements
- One year of professional experience developing, implementing, or evaluating human services, social services, health care services, or health care insurance programs.
- You must meet the PA residency requirement.
- You must be able to perform essential job functions.
Responsibilities
- Support providers by answering questions, troubleshooting claim errors, and offering technical guidance
- Investigate issues across systems such as Provider Reimbursement and Operations Management Information System (PROMISe), Home and Community Services Information System (HCSIS), and Electronic Visit Verification (EVV) to ensure accurate claim processing
- Examine policies, codes, and procedures to confirm compliance with state and federal requirements
- Identify, research, and recommend solutions to problems found in claims, reference files, or related systems
- Prepare reports, maintain informational materials, and submit required updates to system files
- Represent the program in meetings, lead discussions, and provide subject matter expertise when needed
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
