Dental Insurance Analyst
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Position Summary: Manage claims adjudication by identifying contractual variances between posted and expected reimbursement for Article 28, Managed Care, Commercial Insurance and other payers. Analyze, audit and recover outstanding receivables. Identify trends in payments, underpayment/overpayments and denials. Work with respective departments to evaluate trends and be part of the team that works towards resolution and improvement of the revenue cycle processes. Directly manage and resolve all assigned underpayment appeals, follow-up and payer relationships. Report to management any gross payment discrepancies by payers. Contact payer to resolve appeals and final solution to claims. Collaborate with the Director of Insurance Strategy in developing, implementing and maintain operational standards, providing guidance and direction relating to the performance of claims adjudication process. Train staff and administrators to support their adherence to existing and future changes relative to insurance guidelines. Qualifications: Required Education: Bachelor's degree Preferred Education: Master's degree in Business or Health Care Administration Required Experience: 3 years' relevant professional experience including reviewing and auditing insurance payments and denials, recommending policies and systems, and staff training or an equivalent combination of education and experience. Required Skills, Knowledge and Abilities: Master's degree in Business or Health Care Administration Additional Information: In compliance with NYC's Pay Transparency Act, the annual base salary range for this position is USD $68,506.01 to USD $83,729.55. New York University considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and organizational considerations when extending an offer. This pay range represents base pay only and excludes any additional items such as incentives, bonuses, clinical compensation, or other items. NYU aims to be among the greenest urban campuses in the country and carbon neutral by 2040. Learn more at nyu.edu/nyugreen. EOE/AA/Minorities/Females/Vet/Disabled/Sexual Orientation/Gender Identity
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