Auditor - -

Auditor Albany, NY

Join our team and make a meaningful impact by supporting the day-to-day operations of our team. We're looking for a dedicated and dependable professional who is committed to providing excellent support and helping ensure smooth and efficient operations.

Why You'll Love Working With Us

• Quick & Easy Application - Apply anytime, anywhere with our enHANce app.
• Referral Rewards - Receive referral bonuses for eligible healthcare professionals you refer. ($200 referrer / $100 referee - Payable after 200 hours of work)
• Personalized Support - Work with a dedicated recruiter committed to your success.
• Exclusive Employee Benefits - Enjoy free continuing education (CEUs) exclusive marketplace discounts, hotel savings, pet insurance, and Employee Assistance Program.

Shift Details:

• 7:30am 4:30pm (30 min unpaid break)

Auditor Duties & 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 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

Minimum Qualifications

• High school graduate or equivalent
• Minimum of one (1) year/s of recent experience as an Auditor
• Additional certifications may be required.
• Copy of current, completed Primary Source Verification (PSV) from the appropriate licensing board or verification agency, if required.
• Copy of all current required certifications and compliance documents (e.g. N95 fit test, immunization records, TB test, or other client-specific requirements ).

Benefits

• Competitive Pay
• Health, Dental, Vision, Life & Short-Term Disability Insurance (eligibility begins after 60 days)
• 401(k) Retirement Plan