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Commonwealth of Pennsylvania |
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POSITION DESCRIPTION FOR JOB POSTING |
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Position Number: 00023715 |
Description Activated On: 5/8/2026 10:24:22 AM |
Position Purpose: Describe the primary purpose of this position and how it contributes to the organization’s objectives. Example: Provides clerical and office support within the Division to ensure its operations are conducted efficiently and effectively. Responsible for performing the daily operational duties of the Reimbursement Office located at either a regional or out-station site. |
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Description of Duties: Describe in detail the duties and responsibilities assigned to this position. Descriptions should include the major end result of the task. Example: Types correspondence, reports, and other various documents from handwritten drafts for review and signature of the supervisor. Keeps demographic, beneficiary and residence data current for each client in the billing and accounting systems used by the office. Prepares and sends bills for the care and treatment of individuals residing at the facility, as well as for those having a past obligation for such services. Bills are created and forwarded by hardcopy or electronic transmission to Medicare, insurance companies, residents of the facility, their legally liable relatives, their representative payees or person to whom they have granted power of attorney, their guardians, Medical Assistance, and in certain cases, to county administrators. Maintains original books of entry in an accounts receivable system maintained on the personal computers. Posts charges to, prepares and posts adjustments to and posts payments to accounts related to each individual resident in the facility or formerly in the facility who has means to pay. Performs follow-up on rejected payments and payments in dispute. Prepares trial and final balances and financial statements by level of care on a monthly basis. Processes payment of accounts. Opens incoming mail and/or receives payments in person, records receipts daily, prepares daily deposit to the servicing financial institution, safeguards cash and other monetary instruments, and notifies the Office of Health and Human Services Comptroller of deposits made on a daily basis. Prepares reports for approval by the supervisor. Gathers data for regularly occurring reports as described in current operating procedures or for ad hoc reports required by headquarters, prepares a part or all of the report in draft, provides the data to the supervisor and, as directed, submits the report to the proper recipient by mail, electronically, or verbally. Makes and/or handles requests for County Assistance Office (CAO) determination or redeterminations of Medical Assistance eligibility on behalf of individuals residing at the facility. Secures data on residents believed eligible or to be redetermined eligible, processes and logs applications, secures authentication, forwards applications to the CAO, and conducts follow-ups as required. Records eligibility number to various systems from notice of eligibility of PA ACCESS card. Within the scope of the essential functions above, performs specific tasks as designated on individual task list provided by the supervisor and maintained at his/her desk. Performs other related duties and special projects as assigned, with the purpose and standards to be given at the time of each assignment. |
Decision Making: Describe the types of decisions made by the incumbent of this position and the types of decisions referred to others. Identify the problems or issues that can be resolved at the level of this position, versus those that must be referred to the supervisor. Example: In response to a customer inquiry, this work involves researching the status of an activity and preparing a formal response for the supervisor’s signature. Decisions are based on existing policy and procedures as outlined in the Facility Reimbursement Operations Manual (FROM) in conjunction with current DHS policy, Commonwealth statutes and labor-management agreements. Issues not covered by these resources are referred to the Facility Reimbursement Officer/Manager and the ROS Administrator for resolution. |
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Requirements Profile: Identify any specific experience or requirements, such as a licensure, registration, or certification, which may be necessary to perform the functions of the position. Position-specific requirements should be consistent with a Special Requirement or other criteria identified in the classification specification covering this position. Example: Experience using Java; Professional Engineer License Experience: Licenses, registrations, or certifications: 1. N/A 2. N/A 3. N/A 4. 5. 6. |
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Essential Functions: Provide a list of essential functions for this position. Example: Transports boxes weighing up to 60 pounds.
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