JOB As a Third Party Liability Specialist with the Department of Human Services (DHS), you will take part in meaningful investigative work that supports the recovery of medical assistance funds. You will review key documents, research potential repayment sources, and communicate the legal authority for DHS to recover funds. You will follow up on cases to ensure payment, while developing knowledge of laws and regulations that guide recovery efforts. Step into a role where careful research and clear communication help strengthen program integrity across the Commonwealth!
EXAMPLE OF DUTIES
This position supports the recovery of medical assistance expenditures by reviewing claims, identifying responsible parties, and ensuring that funds are properly collected. As a Third Party Liability Specialist, you will perform the following duties:
-
Claim Review: Analyze referrals from multiple sources to determine if benefits were incorrectly granted
-
Case Investigation: Investigate personal injury and estate cases through communication with attorneys, providers, and other agencies
-
Regulation Research: Study laws, regulations, and policies to interpret requirements and apply them to claim decisions
-
Collaboration Work: Coordinate with internal units and partner agencies to support efficient recovery processes
-
Record Accuracy: Maintain detailed case files, track significant events, and ensure proper documentation
-
Settlement Negotiation: Negotiate fair resolutions using sound judgment and diplomacy to maximize collections
Interested in learning more? Additional details regarding this position can be found in the position description.
Work Schedule and Additional Information:
-
Full-time employment, 37.5 hours per week
-
Work hours are 8:00 AM to 4:00 PM, Monday - Friday, with a 30-minute lunch.
-
Telework: You may have the opportunity to work from home (telework) part-time up to 3 days per week. 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.
-
FREE parking!
-
You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices.
SUPPLEMENTAL 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:
-
your score may be lower than deserved.
-
you may be disqualified.
-
You may only apply/test once for this posting.
-
Your results will be provided via email.
