Loan Review Officer jobs in Harrisburg, PA

As a Medical Fee Review Hearing Officer, you will be reviewing appeals, scheduling and conducting de novo hearings, examining witnesses, as well as receiving and analyzing testimony and exhibits. Work may also include ruling on evidence and administrative procedure and issuing written decisions and orders that are subject to appeal to Commonwealth Court. You will have the opportunity to supervise clerical or administrative support staff, issue subpoenas, and perform legal research. This position will require you to maintain a thorough knowledge and understanding of medical billing and coding practices. Additional responsibilities include, but may not be limited to:

• Adjudicating appeals of medical fee issues
• Reviewing hearing transcripts, exhibits, and briefs
• Clarifying issues raised by Fee Review hearing request
• Determining the credibility of witnesses and documentary evidence
• Examining due process rights of parties
• Interpreting the Court’s rulings
• Reviewing stipulations, briefs, and proposed findings of facts
• Reviewing and responding to requests from litigants for appeal continuance or withdrawal

Work Schedule and Additional Information:

• Full-time employment
• Work hours are 8:30 AM to 4:30 PM, Monday - Friday, with 30-minute lunch.
• 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.
• 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.

QUALIFICATIONS
Minimum Experience and Training Requirements:

• Three years of professional experience in investigative, adjudicative, or legal work analyzing and interpreting information to issue decisions, findings of fact, or determinations of eligibility, or to engage in litigation, and a bachelor’s degree; or
• Graduation with a law degree from a school of law accredited by the American Bar Association; or
• An equivalent combination of experience and training. 

Other Requirements:

• You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency. 
• You must be able to perform essential job functions.

How to Apply:

• Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education).
• 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 will eliminate you from consideration for this position. 

Veterans: 

• Pennsylvania law (51 Pa. C.S. §7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to www.employment.pa.gov/Additional Info/Pages/default.aspx and click the Veterans’ Preference tab or contact us at ra-cs-vetpreference@pa.gov.

Telecommunications Relay Service (TRS): 

• 711 (hearing and speech disabilities or other individuals).

If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date.
  

The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply.

• 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.