NACBA
Dental Insurance Analyst
US-NY-New York
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 maintaining 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 In this role you will:
Manage claims adjudication and identify contractual variances between posted and expected reimbursement.
Analyze, audit and recover outstanding receivables.
Identify trends in payments, underpayment/overpayments and denials.
Work with departments to evaluate trends and resolve revenue cycle issues.
Directly manage all assigned underpayment appeals and payer relationships.
Report gross payment discrepancies to management.
Collaborate with the Director of Insurance Strategy to develop and maintain operational standards.
Train staff and administrators on insurance guidelines.
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, staff training, or an equivalent combination of education and experience.
Required Skills, Knowledge and Abilities Knowledge of managed care and claims guidelines and ability to identify trends or issues with denials and claims payments. Excellent analytical, communication and negotiation skills.
Qualifications and Salary 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. 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.
Equal Opportunity Employer 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.
Salary USD $71,610.75
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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 maintaining 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 In this role you will:
Manage claims adjudication and identify contractual variances between posted and expected reimbursement.
Analyze, audit and recover outstanding receivables.
Identify trends in payments, underpayment/overpayments and denials.
Work with departments to evaluate trends and resolve revenue cycle issues.
Directly manage all assigned underpayment appeals and payer relationships.
Report gross payment discrepancies to management.
Collaborate with the Director of Insurance Strategy to develop and maintain operational standards.
Train staff and administrators on insurance guidelines.
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, staff training, or an equivalent combination of education and experience.
Required Skills, Knowledge and Abilities Knowledge of managed care and claims guidelines and ability to identify trends or issues with denials and claims payments. Excellent analytical, communication and negotiation skills.
Qualifications and Salary 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. 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.
Equal Opportunity Employer 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.
Salary USD $71,610.75
#J-18808-Ljbffr