Director, Clinical Revenue Compliance

New York University • New York, NY

75d • $151,272 - $191,272

About The Position

Design, develop and implement the College’s monitoring program for accounting and financial control systems related to clinical revenue data. Develop, plan and evaluate monitoring program for the College’s accounting and statistical records and activities within the College of Dentistry to ensure compliance with NYU and school policies, procedures and standards. Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements for pre-EOB and after posting of payments. Prepare assessment reports for management concerning scope of assessment, root causes and potential control gaps in the process, and participate in the development of remediation strategies.

Requirements

• Bachelor's Degree in Clinical Revenue Compliance accounting, finance, business or healthcare administration.
• 7+ years relevant professional level experience in a claims processing environment.
• Effective planning, analytical, communication and project management skills.
• Proven ability to develop and implement compliance monitoring.
• Expert ability to analyze, extract and interpret patient financial data.
• Expertise in Microsoft Office suite and statistical audit software.
• Comprehensive knowledge of regulations governing Article 28 and dental quality assurance program.

Nice To Haves

• Master's Degree in business or healthcare administration.
• Experience working in an Academic Dental Center, major dental group practice or Claims Adjudication area of an Insurance Carrier.
• Knowledge of Medicaid and HIPAA including administrative best practices for dental and/or health-care environment.

Responsibilities

• Design, develop and implement the College’s monitoring program for accounting and financial control systems related to clinical revenue data.
• Develop, plan and evaluate monitoring program for the College’s accounting and statistical records and activities.
• Perform compliance and monitoring assessments to identify exceptions to establish claims adjudication requirements.
• Prepare assessment reports for management concerning scope of assessment, root causes and potential control gaps.
• Participate in the development of remediation strategies.

Benefits

• Annual base salary range of USD $151,272.89 to USD $191,272.89.
• NYU aims to be among the greenest urban campuses in the country and carbon neutral by 2040.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees