GOT-IT

Dental Services Review Assnt 1

Grade 15

New York State has approximately 7 positions* in this title statewide. You may view a breakdown of positions by county. This position exists in various agencies statewide. View links to all New York State agencies including agencies that have this title. For more information, New York State employees can contact the Career Mobility Office at (518) 485-6199 or (800) 553-1322. If you are not a current New York State employee, you can use the Department of Civil Service Web site to explore possible employment opportunities.

*The number of positions is approximate and represents the number of positions established (both filled and vacant); it is not an indication or reference to position type or duration, or intent to be filled. If you are viewing a trainee title, please note this number reflects the number of positions established at the journey level. Agencies may fill at the trainee level(s) or at the journey level based on employee qualifications. GOT-IT does not provide information on any job postings or job availability. For information on current job postings, please visit State Jobs NY. You may also visit specific New York State Agency websites for information about an agency and its job opportunities.

Career Ladder

A listing of titles that are most commonly used as steps for upward mobility for this title series. The salary schedule for this career ladder is also available.

  1. Dental Services Review Assnt 1

    Grade 15

  2. Dental Services Review Assnt 2

    Grade 19

Summary of Job Description

As a Dental Services Review Assistant 1, you would:

Review dental services requests for medical appropriateness prior to authorization of the services.

Research and respond to inquiries and complaints from providers and recipients related to dental prior approvals and other issues.

Review and assess whether dental care and services rendered were medically necessary and appropriate based on review of x-rays, dental plans, and historical medical records.

Analyze dental charts to determine if required documentation supports billed services and meets quality of care provisions of the Medicaid program.

Monitor provider billing and procedures to identify potentially fraudulent and abusive practices, and to ensure that recommended corrective action plans have been implemented.

Compile and maintain a provider listing for audit consideration based on referrals or complaints from patients, the Attorney General's Office, and other State agencies.

Prepare written responses for administrative fair hearings, and testify as an expert witness at administrative appeal hearings.

Participate in dental research-related projects.

View the classification standard for this title, on the Classification and Compensation webpage.

The NYS Title and Salary Plan provides additional information regarding other titles. If there is a classification standard available there will be a link under the column labeled STD. NO. If no link is available there is no classification standard available at this time for that title.

Summary of Minimum Qualifications

Please note: qualifications for this position may be subject to change. If substitutions for education and/or experience are allowed, this information would be available on the announcement.

This title is non-competitive.  No examination is necessary.  However, you must still meet the Minimum Qualifications of the position.

How to Apply

An examination is not used to fill this title. You must meet the minimum qualifications of the title in order to be considered for this position. You must apply directly to the agency or agencies that have this title.

Career Mobility

Career mobility is not just limited to the titles in the Career Ladder, above. Additional movement may be achieved through other examinations, additional education and/or work experience. For additional information or clarification, current State employees should contact the Career Mobility Office. Visit ELMS Online to view established open-competitive, promotion, and transition eligible lists. If you are not a current New York State employee, see Employment Opportunities with New York State and find out how to become a New York State employee.

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