Medicaid Enrollment Specialist

Job Title

This is a full-time position with the NYS Medicaid Program's Bureau of Provider Enrollment (BPE). BPE staff are 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.

Salary commensurate with scope of work job experience. Proper footwear required to perform tasks in a safe manner. Perform other reasonably related duties as required. New Wave People is an Equal Opportunity Employer (EEO).