Auditors
ECLARO
Albany, NY
Job Number: 26-00203
Make a difference in your community. ECLARO is looking for an Auditors for our client in Albany, NY.
ECLARO’s client aims to enhance public services and promotes sustainable resource management, offering advanced solutions and services. If you’re up to the challenge, then take a chance at this rewarding opportunity!
Responsibilities:
- Provide support for the work of the Maternal Mortality Review Initiative which includes the Maternal Mortality Review Board (MMRB).
- Assist with collecting information for maternal mortality case ascertainment from multiple data sources, including autopsy, police report, Psychiatric Services and Clinical Knowledge for
- Medicaid members (PSYCKES), incarceration history, online information, and other sources.
- Assist with tracking the receipt of case information and follow up on missing information.
- Enter vital death / birth file information and / or other related data as required by the Maternal Mortality Review Information Application (MMRIA).
- Assist in reviewing and verifying entered information. track the receipt of case information and
- follow up on missing information. and file, photocopy and download case information for case review and MMRB meetings.
- Provide support for an internal obstetrician (OB) to review pregnancy-associated cases. i.e., enter data from the death certificate, birth certificate and autopsy into OB case review forms.
- Downloads completed forms received from OB.
- Provide support for the transfer of information to and from IPRO abstractors.
- Assist in preparing case materials for MMRB reviewer.
- Provide logistical support for MMRB meetings.
- Perform general office and administrative related assignments.
- Determine appropriate routing for reimbursement of AIHP medical providers.
- Process AIHP Nation pharmacy and vision memberships.
- Support accounts / payable process (key vouchers for AIHP / OHEHR).
- Provide administrative support (minutes, field calls from claims hotline) to AIHP contractors.
- Assist in preparation of periodic reports and analysis.
- Assist in the implementation and maintenance of policies and procedures related to control and processing of payment requests.
- Manage the Unit's workflow, troubleshoot and report to supervisor when necessary.
- Respond to inquiries from providers and nation billing clerks.
Required Skills:
- Strong office organizational skills related to collecting, tracking, and follow up of data.
- Data entry experience, preferably in Access forms.
- Experience with office machines to scan, fax, copy and compile documents.
- Proficiency in Microsoft Office 365 software package with an emphasis on Excel.
- Ability to accurately extract details from program submissions.
- Excellent written and oral communication skills.
- General / Basic Understanding of the medical claims' submission process, which includes analyzing Explanation of Benefits (EOB) forms to interpret payment information, ability to read and interpret Medicaid billing schedules and policies, as well as Current Procedural Terminology (CPTs) and Healthcare Common Procedural Coding System (HCPCS).
- General knowledge of automated accounting systems.
- Ability to analyze data and apply basic Generally Accepted Accounting Principles (GAAP) when necessary.
- Proficiency in Microsoft Excel and Word programs.
- Good written and oral communication skills, as well as good organizational skills.
Preferred Skills:
- Ability to organize work and document progress of projects through to completion.
- Ability to multi-task and adjust priorities as directed by management.
- 2+ years' work experience as a Medical Coder, Billing Specialist, or equivalent.
If hired, you will enjoy the following ECLARO Benefits:
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
If interested, you may contact:
Kath Torres
katherine.torres@eclaro.com
513-449-9042
Kath Torres | LinkedIn
Equal Opportunity Employer: ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
About the Company
ECLARO
Eclaro is a Business and Technology Consulting Firm that connects top talent with opportunities nationwide. We have direct access to Hiring Managers from leading Fortune 1000 organizations in almost every industry segment, with particular expertise in:
• Technology and Business Consulting
• Financial Services and Insurance
• Pharmaceuticals and Life Sciences
• Consumer Products, Public Sector, and Utilities
Eclaro provides fully customizable, comprehensive talent acquisition and management of seasoned professionals through a number of business models, including:
• Consulting
• Professional Hiring
• Global Integrated Delivery™
• Managed Services
Eclaro recruits and manages a staff of highly skilled individuals in an array of specialized disciplines enabling our clients to leverage new opportunities, respond to increased and changing demands, and increase their profitability.
Eclaro’s Management Team averages over 25 years of experience in partnering with clients in technical, corporate operations and human capital solutions. We hold ISO 9001:2008 certification and have achieved SOC 2 Type 2 certification in Security, Availability and Confidentiality. Eclaro’s decades of expertise and collaborative practice have proven that The Right People are The Answer.