Auditing, Communication Skills, Computer Skills, Customer Support/Service, Data Entry, File Maintenance, High School Diploma, Medicaid, Microsoft Office, Organizational Skills, Presentation/Verbal Skills, Quality Metrics, Writing Skills
Job Title: Provider Enrollment Auditor
Contract Length: 24 Months
Pay Rate: $22 - $28/hr
Position Description:
Our client in Albany, NY is looking for a Provider Enrollment Auditor responsible for enrolling, revalidating, and maintaining Medicaid provider files in the eMedNY system and/or in the Provider Services Portal (PSP).
This includes:
- Ensuring that applications and required documentation submitted in the PSP are complete, current, and valid, and that data entered into the PSP complies with federal and State requirements, policies and procedures.
- Navigating various federal and State databases, including Medicare's enrollment system (PECOS), the NPI Registry (NPPES), the New York State Education Department's (NYSED's) Office of the Professions Verification Search, and other states' licensing verification websites, to verify information supplied on an application is current and valid.
- In a clear, concise, and professional manner, contacting providers via the PSP, email, or phone if information is incomplete or requires further clarification.
- Entering and updating provider information in eMedNY and/or the PSP.
- Meeting production and quality standards.
- Filing, maintaining, and uploading documents according to procedures.
Additional Skill Level, Experience or Other Requirements:
- Previous experience reviewing, verifying, validating detailed/sensitive information using web-based verification sources (Preferred)
- Data entry experience (Preferred)
- Strong computer skills, including proficiency in Microsoft Office, internet navigation
- Strong communication skills (written and verbal)
- Previous customer service experience
- Excellent organizational skills
- Ability to be flexible, innovative, work independently, recognize and manage priorities with minimal supervision and as a team member
- High school graduate or equivalent
#IND1APPLY NOW!
Integrated Staffing values a diverse, inclusive workforce and we provide equal employment opportunity for all applicants and employees. All qualified applicants for employment will be considered without regard to an individual’s race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state or local laws. Integrated Staffing will reasonably accommodate qualified individuals with disabilities to the extent required by applicable law.

Staffing solutions that exceed expectations and build relationships.I
Integrated Staffing Corporation