Bachelor’s degree in Accounting, Finance, Business or Health Care AdministrationPreferred Education:
Master’s degree in Business or Health Care AdministrationRequired Experience:
5+ years’ relevant professional level experience in a claims processing environment including related experience in a qualityPreferred Experience:
Experience working in an Academic Dental Center, major dental group practice or Claims Adjudication area of an Insurance Carrier.Required Skills, Knowledge and Abilities:
Effective planning, analytical, communication and project management skills. Proven ability to develop and implement audit plans that will assess the effectiveness of NYU Dentistry controls and processes to support best in class business practices. Expert ability to read, extract and interpret patient financial data as it relates to clinical documentation and diagnosis/procedural coding of services provided. Expertise in Microsoft Office suite and statistical audit software. Comprehensive knowledge of regulations governing Article 28 and dental quality assurance program.Preferred Skills, Knowledge and Abilities:
Knowledge of Medicaid and HIPAA including administrative best practices for dental and/or health-care environment.