Job Title: Auditor (Provider Enrollment Specialist)
Location: New Rochelle, NY
Address: NYS Department of Health MARO Office (145 Huguenot Street, 6th Floor, New Rochelle, NY 10801)
Type: Full-Time / New York State Agency Contract (Hybrid Up to 50% Telecommuting Available)
Position Summary
Penda Aiken Inc. is a staffing firm located in Brooklyn, New York. Our client is a New York State Agency seeking a detail-oriented Auditor to join the Office of Health Insurance Programs (OHIP) within the Bureau of Provider Enrollment (BPE).
Located at the Metropolitan Area Regional Office (MARO) in New Rochelle, NY, this role is responsible for reviewing, verifying, and enrolling Medicaid healthcare providers into state databases. The ideal candidate will possess strong analytical and computer skills, excel in navigating complex verification databases, and consistently meet production and quality standards in a fast-paced environment.
Primary Responsibilities
Provider Application Review: Review, audit, and validate Medicaid provider applications and supporting documentation submitted via the Provider Services Portal (PSP) to ensure completeness, accuracy, and compliance with state and federal regulations.
Database Verification & Auditing: Search and cross-reference information across various state and federal verification databases, including Medicares enrollment system (PECOS), the NPI Registry (NPPES), the NYS Education Department (NYSED) Office of the Professions, and out-of-state licensing portals.
Data System Management: Enter, update, and maintain provider records within the eMedNY system and Provider Services Portal (PSP).
Stakeholder Communication: Contact healthcare providers via portal messages, email, or telephone in a clear, professional, and concise manner to request missing information or resolve application discrepancies.
Record Keeping & Compliance: Maintain, organize, and upload physical and electronic documents strictly following established agency procedures and quality control standards.
Minimum Qualifications
Education: High School Diploma or equivalent.
Work Authorization: Proof of eligibility to work in New York State.
Preferred Qualifications & Core Competencies
Experience:
Prior experience reviewing, verifying, and validating sensitive or detailed data using web-based verification systems (strongly preferred).
Hands-on data entry and customer service experience.
Technical Skills: Proficiency in Microsoft Office Suite, internet search navigation, and electronic database entry/extraction.
Professional Abilities: Strong written and verbal communication skills; excellent organizational abilities; ability to work independently with minimal supervision as well as collaboratively within a team.
Shift, Schedule & Training Notes
Hours: Full-Time (37.5 40 hours per week), scheduled between 7:30 AM 4:30 PM (includes a 30-minute unpaid meal break).
Telecommuting: Up to 50% telecommuting per pay period may be available upon management approval following completion of training.
Attendance Policy: Candidates are requested to refrain from taking time off during the initial 90-day training period to ensure proper onboarding and learning outcomes.