Auditors

US: TryfactaAlbany, NY
Onsite

About The Position

Tryfacta is seeking Auditors for our client in Albany, NY. This is a 24-month contract assignment. 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).

Requirements

  • 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
  • High school graduate or equivalent

Nice To Haves

  • Previous experience reviewing, verifying, validating detailed/sensitive information using web-based verification sources
  • Data entry experience

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.
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