Provider Enrollment & Verification Specialist

Provider Enrollment and Verification Specialist

Our pay rate is competitive based on the Client's desire for the best overall value. Pay rate is determined based on skills required, years of experience, and specific Client requirements.

Required

Education:

High School Diploma or Equivalent

Required Skills, Experience, and Knowledge:

• 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

Preferred Skills, Experience, and Knowledge:

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

Job 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

Offers are contingent upon successful completion of background check requirements. Parking is available.