We are seeking a detail-oriented Auditor to support a large Medicaid provider enrollment program. This position is responsible for reviewing provider enrollment and revalidation applications, maintaining provider records, validating documentation, and ensuring compliance with Medicaid enrollment requirements.
- Review provider enrollment and revalidation applications for completeness and accuracy
- Ensure all required documentation is current, valid, and compliant with program requirements
- Navigate federal and state databases including Medicare’s PECOS system and state licensing verification websites
- Contact providers via phone and email to obtain missing information or clarification
- Enter and update provider records within the enrollment system
- Maintain production and quality standards while managing assigned workloads
- Review and validate data for accuracy and consiste...