Healthcare Program Specialist - Provider Enrollment
at Public Consulting Group

Date Posted: 11/18/2019

Job Description

Staffing Solutions Organization LLC (SSO), a wholly owned subsidiary of Public Consulting Group, is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse workforce, which is a reflection of our clients and the people they serve.

Healthcare Program Specialist - DHPCO Item 1073


Day-to-Day Tasks of Position:

This position is in a high-volume production environment and will be responsible for processing healthcare provider applications for enrollment in the New York State Medicaid program while ensuring compliance with State and federal laws, regulations, and policies.  This position may also process revalidations for enrollment and maintenance transactions.  Once proficient with these tasks, the incumbent may be asked to assist with special projects or a specific function such as audits, training, fingerprinting, processing waivers, etc.  More specifically, this position will:

 

  • Review provider enrollment documents for completeness; document, request and follow up on missing information; verify information by searching internal databases and navigating the internet to access external databases;
  • Perform data entry, including saving data and verifying saved data;
  • Create and maintain documentation; and
  • Assist providers and their representatives with the enrollment process, both via telephone and in writing.
  • In addition, this position may:
  • Assign transactions to staff, train provider enrollment staff, and/or perform quality assurance on transactions;
  • Develop and implement training materials and analytic tools.
  • Perform as a team lead for up to five employees.

 

Minimum Qualifications:

  • Bachelor’s Degree
  • Two (2) years’ experience in an office setting performing tasks other than direct patient care
  • Strong computer skills with proficiency in Microsoft Office, navigation and data entry
  • Excellent organizational skills including the ability to prioritize work assignments
  • Thorough attention to detail
  • Ability to be flexible, innovative and work independently with minimal supervision and as a team lead or supervisor
  • Strong communication skills (written and verbal) with the ability to respond to internal and external calls/inquiries with accuracy and in a professional manner
  •  

    Preferred Qualifications:

    • Previous experience (other than direct patient care) in health care, health insurance and/or the public or non-profit sectors
    • Previous data entry and data validation experience
    • Previous customer service, training, and/or presentation experience
    • Previous experience with analytic tools and reporting
    All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, marital status, age, national origin, protected veteran status, or disability.  Staffing Solutions Organization LLC is an e-Verify participant.


    Other details

    • Pay Type Salary
    • Travel Required No
    • 431A Broadway, Menands, 431 Broadway, Menands, New York, United States of America

    Job Snapshot

    About Us

    Public Consulting Group, Inc. (PCG) provides management consulting and technology services to help public sector education, health, human services, and other government clients achieve their performance goals and better serve populations in need. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has more than 1,700 professionals in 55 offices around the U.S. and in Montreal, UK and Poland. The firm draws on more than two decades of consulting to public sector clients in all 50 states and Canada to deliver best-practice solutions and measurable results to state and local public agencies, state-operated facilities, and private providers that do business with government agencies.

    PCG is committed to a diverse workforce which is a reflection of our clients and the people they serve. Our organizational culture attracts and rewards people who are results-oriented and interested in making an immediate impact on their community as well as their own career.

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