Job ID: 2025-14994 Type: College of Dentistry (DN1032) # of Openings: 1 Category: Finance/Real Estate/Procurement/Grant Management New York University
Overview
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.
Responsibilities
Required Education: Bachelors degree
Preferred Education: Masters 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: Knowledge of guidelines of managed care and claims guidelines and ability to identify trends/issues with denials and claims payments. Excellent analytical, communication and negotiation skills.
Qualifications
In compliance with NYC's Pay Transparency Act, the annual base salary range for this position is USD $71,610.75 to USD $87,524.25. 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.
NYU is an Equal Opportunity Employer and is committed to a policy of equal treatment and opportunity in every aspect of its recruitment and hiring process without regard to age, alienage, caregiver status, childbirth, citizenship status, color, creed, disability, domestic violence victim status, ethnicity, familial status, gender and/or gender identity or expression, marital status, military status, national origin, parental status, partnership status, predisposing genetic characteristics, pregnancy, race, religion, reproductive health decision making, sex, sexual orientation, unemployment status, veteran status, or any other legally protected basis. All interested persons are encouraged to apply at all levels.
New York University (NYU) is one of the top private universities in the United States, and NYU Tandon School of Engineering traces its roots back to 1854, building on an illustrious past as Brooklyn Poly and the NYU Polytechnic School of Engineering. Our mission is to excel in research, teaching, and entrepreneurship and inspire and educate engineers for the 21st century — backed by an historic commitment of $1 billion to recruit new faculty, fuel groundbreaking basic and applied research in key areas, and expand the Downtown Brooklyn campus. NYU Tandon faculty are world renowned leaders in science and technology, with a strong commitment to research, innovation, and entrepreneurship that make a difference in the world. We lead and have ties to multidisciplinary centers in wireless technology, cybersecurity, urban informatics, data sciences, artificial intelligence, renewable energy, and health, among others. Our faculty and students are part of the high-tech start-up culture in New York City and in downtown Brooklyn, and we support three “future lab” business incubators that connect our students and faculty to today’s innovation economy. We are deeply committed to teaching and le...arning, and with NYU's unrivaled global network of campuses, we promote a truly global engineering education.
NYU Tandon is committed to substantially increase the proportion of our faculty from historically underrepresented groups in STEM and we encourage candidates from such groups to apply. We aspire to create a climate where diversity and inclusion are not only appreciated but considered an asset for creativity and innovation, and we seek faculty who have a real passion for a culturally diverse environment. We take pride in our high numbers of female students and students who are the first in their family to go to college. NYU belongs to the Higher Education Recruitment Consortium (HERC), which assists with dual-career searches, and our faculty are supported by a range of work-life balance programs provided by the NYU Office of Work Life