ECLARO · 6 hours ago
Auditors
Albany, NY
Contract
Onsite
Entry Level
2+ years expECLARO is seeking Auditors for their client in Albany, NY, who aims to enhance public services and promote sustainable resource management. The role involves supporting the Maternal Mortality Review Initiative by collecting and tracking case information, providing administrative support, and assisting in various office and logistical tasks.
Staffing & Recruiting
Responsibilities
Provide support for the work of the Maternal Mortality Review Initiative which includes the Maternal Mortality Review Board (MMRB)
Assist with collecting information for maternal mortality case ascertainment from multiple data sources, including autopsy, police report, Psychiatric Services and Clinical Knowledge for Medicaid members (PSYCKES), incarceration history, online information, and other sources
Assist with tracking the receipt of case information and follow up on missing information
Enter vital death / birth file information and / or other related data as required by the Maternal Mortality Review Information Application (MMRIA)
Assist in reviewing and verifying entered information. track the receipt of case information and follow up on missing information. and file, photocopy and download case information for case review and MMRB meetings
Provide support for an internal obstetrician (OB) to review pregnancy-associated cases. i.e., enter data from the death certificate, birth certificate and autopsy into OB case review forms
Downloads completed forms received from OB
Provide support for the transfer of information to and from IPRO abstractors
Assist in preparing case materials for MMRB reviewer
Provide logistical support for MMRB meetings
Perform general office and administrative related assignments
Determine appropriate routing for reimbursement of AIHP medical providers
Process AIHP Nation pharmacy and vision memberships
Support accounts / payable process (key vouchers for AIHP / OHEHR)
Provide administrative support (minutes, field calls from claims hotline) to AIHP contractors
Assist in preparation of periodic reports and analysis
Assist in the implementation and maintenance of policies and procedures related to control and processing of payment requests
Manage the Unit's workflow, troubleshoot and report to supervisor when necessary
Respond to inquiries from providers and nation billing clerks
Qualification
Required
Strong office organizational skills related to collecting, tracking, and follow up of data
Data entry experience, preferably in Access forms
Experience with office machines to scan, fax, copy and compile documents
Proficiency in Microsoft Office 365 software package with an emphasis on Excel
Ability to accurately extract details from program submissions
Excellent written and oral communication skills
General / Basic Understanding of the medical claims' submission process, which includes analyzing Explanation of Benefits (EOB) forms to interpret payment information, ability to read and interpret Medicaid billing schedules and policies, as well as Current Procedural Terminology (CPTs) and Healthcare Common Procedural Coding System (HCPCS)
General knowledge of automated accounting systems
Ability to analyze data and apply basic Generally Accepted Accounting Principles (GAAP) when necessary
Proficiency in Microsoft Excel and Word programs
Good written and oral communication skills, as well as good organizational skills
Preferred
Ability to organize work and document progress of projects through to completion
Ability to multi-task and adjust priorities as directed by management
2+ years' work experience as a Medical Coder, Billing Specialist, or equivalent
Benefits
401k Retirement Savings Plan administered by Merrill Lynch
Commuter Check Pretax Commuter Benefits
Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
Company
ECLARO
ECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada and the Philippines.
1001-5000 employees
H1B Sponsorship
ECLARO has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (1)
2022 (2)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Nicholas Butcher
QA CTO Label Specialist
Dan Broderick
Chief Delivery Officer
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