Medicaid Enrollment Specialist

37.5 - 40 hours, between the hours of 7:30 – 4:30
(30 min unpaid break).
After training and upon approval of bureau management, telecommuting up to 50% of the pay period may be available.
No Holiday work, or travel required
Some Overtime Anticipated
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 in the Provider Services Portal (PSP). This 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 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

• High school graduate or equivalent 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 in the Provider Services Portal (PSP). This 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 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

• High school graduate or equivalent

Salary commensurate with scope of work job experience
Proper footwear required to perform tasks in a safe manner.
Perform other reasonably related duties as required.
New Wave People is an Equal Opportunity Employer (EEO).

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