Provider Enrollment Auditor

Pay Range: $33hr - $34hr

Job Overview:

This is a position supporting provider enrollment operations. Staff members are responsible for enrolling, revalidating, and maintaining healthcare provider files in the eMedNY system and in the Provider Services Portal (PSP).

Responsibilities:

• 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 State Education Department's Office of the Professions Verification Search, and other states' licensing verification websites, to verify information supplied on an application is current and valid.
• Contacting providers via the PSP, email, or phone in a clear, concise, and professional manner if information is incomplete or requires further clarification.
• Entering and updating provider information in eMedNY and the PSP.
• Meeting production and quality standards.
• Filing, maintaining, and uploading documents according to procedures.

Requirements:

• Previous experience reviewing, verifying, and validating detailed or sensitive information using web-based verification sources (Preferred).
• Data entry experience (Preferred).
• Strong computer skills, including proficiency in Microsoft Office and 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 work as a team member.
• High school graduate or equivalent.