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ID Location Skills $$ Job Type Status
14591 MENANDS, NY 12204 Auditors DOE Contract OPEN
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Subject=IIT Career Site/Resume for JobID=14591 (Auditors) in MENANDS NY 12204 (AKU)

Estimated Length: 24 months Monday - Friday / 8:30am to 4:30 pm


Position Description:

The Division of Operations and Systems, Bureau of Medical Review: The Auditor positions are located within the Call Center and Administrative Staff Support having multiple responsibilities including, but not limited to:

· Knowledgeable of Medicaid procedures, processes and policies

· Answer telephone inquiries from healthcare providers and members related to prior approval for medical purposes, such as Durable Medical Equipment, Hearing aids, Private duty nursing and out of state inquiries involving nursing home placement and out of state procedures.

· Escalate complex inquires that cannot be answered with available information to appropriate staff

· Responsible for guiding and educating providers, as well as members, on where to locate pertinent resources available on our emedny.org website.

· Responsible for assisting providers with troubleshooting techniques regarding our enteral systems

· Data entry into excel spreadsheets and other tracking tools

· Monitor incoming emails and Faxes from a shared mailbox and forward to the appropriate staff.

· Send Faxes as necessary through email supported Fax mailbox

· Monitor and maintain office supplies

· Distributing fair hearing request and decisions to appropriate staff

· Process change requests according to defined procedure

· Support claims processing when other duties are finished

· Maintain a positive, profession demeanor always

· All other activities as may be deemed necessary

Additional Skill Level, Experience or Other Requirements:

· High School Graduate or Equivalent

· Experience with Microsoft Word and with Basic Excel functions

· Proficient in the use of standard office technology

· Ability to be flexible, innovative and work in a team environment



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About IIT:

Founded in 1995, IIT is a leading provider of Workforce Solutions to Government and Fortune-1000 organizations. IIT is a winner of Inc-500 award. IIT's core services include:

  • Consulting for projects / IT Outsourcing
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  • Custom Workforce Solutions
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  • Competitive compensation
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    IIT is an Equal Opportunity Employer