Full-time Remote Auditor

After training and upon approval of bureau management, telecommuting up to 50% of the pay period may be available.

Shift/Schedule: 37.5 – 40 hours, between the hours of 7:30 – 4:30 (30 minute unpaid break). No holiday work, overtime or travel required. Free parking provided.

Position Description

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 the Provider Services Portal (PSP). The role 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 federal and state databases, including Medicare's enrollment system (PECOS), the NPI Registry (NPPES), the New York 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/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, and validating detailed/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 as a team member.

High school graduate or equivalent.

Salary commensurate with scope of work and job experience.

Perform other reasonably related duties as required.

New Wave People is an Equal Opportunity Employer (EEO).

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