Auditor

Albany, NY

Posted: 11/18/2024 Job Number: 24-12319 Pay Rate ($): 30.0

Job Description


Health Advocates Network is currently seeking a Auditor to work at a facility in Albany, New York. These are registry positions with our company.

Pay Rate: $30 / hour
*W2

Shift details:
  • Mon - Friday / 8am - 4: 30 pm

Position Description:

The Auditor position is located within DMDD, Bureau of Medical Review Call Center and Administrative Staff Support unit. This position has multiple responsibilities including, but not limited to:

·Answering telephone inquiries from healthcare providers, members caregivers and advocacy groups related to prior approval of medical services such as durable medical equipment, medical supplies, hearing aids, private duty nursing and out of state inquiries involving nursing home placement and other out of state procedures.

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

·Guiding and educating providers, as well as members, on where to locate pertinent policy information

·Assisting providers to troubleshoot our prior approval system(s)

·Performing data entry into excel spreadsheets and other tracking tools

·Monitoring incoming emails and/or faxes from a shared mailbox and forward to the appropriate staff.

·Sending faxes through e-mail supported fax mailbox

·Supporting claims processing when other duties are finished

·Maintaining a positive and professional 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, to include fax machines, document scanners and copiers

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

Benefits:
-Medical
-Dental
-Vision
-Term Life
-Short-Term Disability Coverage
-401K

If interested, please apply through this job post. You may fax a copy of your most recent resume to 877-858-623. If you have any questions, please feel free to call at (800) 928-5561 and ask to speak with Vanessa (Monday-Friday 8: 30 AM-5: 00 PM PST). Refer friends, Earn rewards! Https://stafftoday.Staffingreferrals.Com/join/vdemont


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