InGenesis is currently seeking Auditors to work with our client in Albany, NY. In this role, you will be working in the NYS Department of Health’s Office of Health Insurance Programs (OHIP) - Call Centers. Apply today and we’ll reach out to answer any questions you may have! Job Duties (Call Center - Bureau of Medical Review) · 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 · Distributing fair hearing request and decisions to appropriate staff · Processing change request forms according to defined procedure · Supporting claims processing when other duties are finished Preferred Qualifications · 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 Job Duties (Call Center - Claims Unit) · Review medical claims according to written procedures · Escalate issues & complex claims · Answer phones and transfer to the appropriate staff · Educate providers on billing processes · Educate providers on where to locate resources · Maintain database for tracking purposes · Data Entry · Proficient in the use of several data bases · File and maintain documents · Fax, scan and copy documents · Monitor incoming emails from a shared mailbox and forward to the appropriate staff Preferred Qualifications · High School Graduate or Equivalent · Experience with Microsoft Word and Excel · Proficient in the use of standard office technology · Ability to be flexible, innovative, and work in a team environment · Previous claims experience preferred but not required *Pay rate range commensurate on experience. InGenesis is one of the largest staffing firms in the industry and is among the largest diversity-owned healthcare staffing firms in North America. InGenesis is dedicated to placing people in positions that preserve life, improve lives, and inspire others. This does not happen without passionate people: skilled colleagues who are motivated to create innovative solutions and deliver superior service to our clients. InGenesis counts almost half of the Fortune 500 in our nearly 300 clients, including clients in the healthcare, life sciences, higher education and pharma industries. EEOC Statement InGenesis is proud to be an affirmative action employer and is committed to providing equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you have a disability or special need that requires accommodation, please let us know by visiting our website at https://www.ingenesis.com/careers/site-accommodations.