Medical Assistance Program Technician

Become a Medical Assistance Program Technician with the Department of Health (DOH) and help strengthen access to important medical services across Pennsylvania. This fast-paced role places you at the center of a program that supports Pennsylvanians who depend on accurate and timely claim processing. Every task you complete helps providers and cardholders receive the support they need without delay. Join a driven team that works hard to improve health outcomes and deliver reliable service across the Commonwealth., 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

Interested in learning more? Additional details regarding this position can be found in the position description., + Telework: You may have the opportunity to work from home (telework) part-time. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Harrisburg. The ability to telework is subject to change at any time. Additional details may be provided during the interview.

• Salary: In some cases, the starting salary may be non-negotiable.
• You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices., + If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable.
• Your application must be submitted by the posting closing date. Late applications and other required materials will not be accepted.
• Failure to comply with the above application requirements may eliminate you from consideration for this position.
• All application materials and interview responses must reflect the applicant’s own experience, qualifications, and work. Applicants may use generative AI tools for preparation purposes only. Use of AI to misrepresent or falsify information, or to assist during interviews, is not permitted. Review the Guidance for Generative AI Tools & Job Seekers for additional information., + Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam).
• Your score is based on the detailed information you provide on your application and in response to the supplemental questions.
• Your score is valid for this specific posting only.

• You must provide complete and accurate information or: o your score may be lower than deserved. o you may be disqualified.

• You may only apply/test once for this posting.
• Your results will be provided via email.

Minimum Experience and Training 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.