Medical Assistance Program Technician

Commonwealth of Pennsylvania • Dauphin County, PA

5d • Hybrid

About The Position

This position focuses on processing and reviewing complex medical and transportation claims within the Chronic Renal Disease Program. You will support providers and cardholders by ensuring accuracy, thoroughness, and timely responses. As a Medical Assistance Program Technician, you will perform the following duties: Invoice Review: Examine provider invoices for accuracy, eligibility details, and required documentation. Claim Adjudication: Determine payment amounts, reconcile service codes, and verify supporting information. System Research: Use multiple electronic systems to verify data, calculate payments, and resolve discrepancies. Provider Support: Explain billing procedures and respond to inquiries from providers and cardholders. Record Maintenance: Track claim issues, update program data, and assist with transportation applications. Quality Oversight: Approve or reject claims processed by staff and provide technical assistance to improve accuracy.

Requirements

• Three years of para-technical experience which involved reviewing and responding to inquiries relating to applicable services or benefits in health care insurance programs, health care services, or medical assistance program services; or Any equivalent combination of experience and training.
• Meet the PA residency requirement.
• Be able to perform essential job functions.

Responsibilities

• Examine provider invoices for accuracy, eligibility details, and required documentation
• Determine payment amounts, reconcile service codes, and verify supporting information
• Use multiple electronic systems to verify data, calculate payments, and resolve discrepancies
• Explain billing procedures and respond to inquiries from providers and cardholders
• Track claim issues, update program data, and assist with transportation applications
• Approve or reject claims processed by staff and provide technical assistance to improve accuracy

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed