Provider Enrollment Specialist-25488
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Job Location:
Albany, GA - USA
Monthly Salary:
$ 23 - 23
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Job Description
Shift/Schedule: 40 hours between the hours of 7:30 5:00 (30 Min unpaid break). After training and review telecommuting up to 50% of the pay period may be available upon successful completion of training and review to ensure competency.
Mission statement of OHIP:
The overall mission of the Office of Health Insurance Programs is to optimize the health of Medicaid members by wisely using all available resources. OHIP is responsible for administering New Yorks Medicaid budget (approximately $65B for 2018) by collaborating with stakeholders across the health care industry including other state agencies local and federal government agencies providers members and community-based organizations. OHIP is also responsible for implementation of major initiatives including Medicaid Redesign the Affordable Care Act and State Administration of Medicaid.
Division functions:
The Division of Operations and Systems (DOS) is responsible for the oversight of information systems that support the New York State Department of Health initiatives as well as the New York State Medicaid Program. The initiatives include but are not limited to the NY State of Health (NYSOH) system the electronic Medicaid of New York State (eMedNY) system and the design development testing implementation and daily use of the new Medicaid Provider Services Portal (PSP).
Position Description:
This is a full-time position with the NYS Medicaid Programs Bureau of Provider Enrollment (BPE). BPE staff are responsible for enrolling and revalidating providers in NYS Medicaid and maintaining provider records in eMedNY. This includes:
- Ensuring that the paper application and required documentation are complete current and valid and data entered by fiscal agent into tracking system is consistent with the submitted application adhering to Federal and State requirements policies and procedures.- Navigating various Federal and State databases including Medicares enrollment system (PECOS) NPI Registry (NPPES) New York State Education Department Office of the Professions Verification Search and other states licensing verification websites to verify information supplied on application is current and valid.
- Contacting providers via email or phone if information is incomplete or requires further clarification in a clear concise tactful manner.
- Entering and updating provider information in eMedNY
- Meeting production and quality standards
- File maintain upload documents according to procedures in a timely manner
- Employees are requested to refrain from taking time off during the initial training period up through the first 90 days to ensure the best learning outcomes.
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 (Preferred)
- 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.
- Highschool graduate or equivalent
Required Experience:
IC
Key Skills
- Sales Experience
- Crane
- Customer Service
- Communication skills
- Heavy Equipment Operation
- Microsoft Word
- Case Management
- OSHA
- Team Management
- Catheterization
- Microsoft Outlook Calendar
- EHS
About Company
Who We Are & What We Do Established in 2005, Knowledge Builders Inc. (KBI) provides Information Technology Consulting, Administrative and Health Care Staffing solutions, Payrolling and Call Center services to companies and governmental entities of all sizes. KBI is a Woman-Owned Bus ... View more
