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Review Vacancy

Date Posted 11/10/17

Applications Due12/08/17

Vacancy ID45207

AgencyHealth, Department of

TitleDental Services Review Assistant 2

Occupational CategoryHealth Care, Human/Social Services

Salary Grade19

Bargaining UnitASU - Administrative Services Unit (CSEA)

Salary RangeFrom $59211 to $71412 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Non-competitive Class

Travel Percentage 0%

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8:30 AM

To 4:30 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

County Albany

Street Address Office of Health Insurance Programs, Division of Operations and Systems

Bureau of Dental Review, 150 Broadway

City Albany

StateNY

Zip Code12204

Minimum Qualifications Current registration as a licensed Dental Hygienist in New York State and three years of experience in dental hygiene practice OR graduation from a school of dentistry and one year of dental services experience. Individuals completing dental programs outside the United States must have completed a program accredited by the World Health Organization.

Preferred Qualifications:
Knowledge of NYS Medicaid Dental Program policy and procedures. Experience in the review and evaluation of dental prior approval requests and dental claims pended for professional review.

Duties Description With the assistance and direction of a licensed dentist, the incumbent of this position will: evaluate x-rays, charting and treatment plans submitted for dental prior approval requests and make appropriate determinations within the context of the NYS Medicaid Dental Program; review and evaluate claims for payment that have been pended for professional review; interact with providers and clients to provide assistance and guidance on Medicaid policy, procedures and complaints; identify cases of inappropriate payment and request documentation and/or recoupment; provide written responses to requests for administrative fair hearings; provide oral testimony via telephone if requested by an Administrative Law Judge; supervise and provide guidance for Dental Services Review Assistant 1’s, consultant hygienists, support staff and others in the Division of Operations and Systems; provide assistance to dental consultants, Public Health Dentists and the Medicaid Dental Director.

Additional Comments Permanent, full-time. Non-competitive.

Some positions may require additional credentials or a background check to verify your identity.

Name Human Resources Management Group - SC/90688/DSRA2

Telephone (518) 486-1812

Fax (518) 473-3395

Email Address personnel@health.ny.gov

Address

Street Room 2217 Corning Tower, Empire State Plaza

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingSubmit resume to Human Resources Management Group, SC/90688/DSRA2, Room 2217, Corning Tower Building, Empire State Plaza, Albany, New York 12237- 0012, or by email to resume@health.ny.gov or by fax to (518) 473-3395 with a subject line SC/90688/DSRA2. Resumes will be accepted until 12/08/2017

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