Resources & Reimbursement Agent​/Trainee &2; NYS HELPS), Office

Overview

Duties Description

This position reports to a G-23 Resource and Reimbursement Program Development Specialist 2. The position supports the RRPDS2 in managing the Office of Mental Health's annual revenue collection through the sole custody bank account.

• Responsibilities include but are not limited to:
  Ensuring OMH is properly claiming, collecting, reconciling, transferring and tracking multiple revenue streams that exceed $1 billion annually.
• Posting remittance responses from health plans to patients for their care at State Operated Psychiatric Centers.
• Reviewing remittance files for accuracy and appropriateness and then any errors resulting need to be managed and remedied.
• Reviewing payments from patients or their representative payees and accurately logs them against their personal accounts.
• Researching and reaching out to appropriate parties to determine the correct patient accounts to apply payments to.
• Validating and requesting refunds, wire transfers, and adjustments as needed.

Non-Competitive HELPS:

• Trainee 1 ($53,764):
  Four years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.
• Trainee 2 ($59,994):
  Five years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.
• Journey Level ($66,951):
  Six years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.
• An associate degree may substitute for two years of experience; a bachelor’s degree may substitute for four years of experience; a master’s degree may substitute for five years of experience; and a doctorate may substitute for six years of experience.

55BC Opportunity:
Must meet the Non-Competitive minimum qualifications above and Individuals certified eligible for the 55b/c program under the Governor’s Program to Hire Persons/Veterans with Disabilities pursuant to Section 55b/c of the Civil Service Law AND possess a Bachelor’s degree will also be considered. Please provide a copy of your eligibility letter and transcript with your response.

Candidates must have permanent status as a Resources & Reimbursement Agent 1, SG-18 and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1 or Section 52.6 of the Civil Service Law by having at least one year of permanent service in a qualifying title within two salary grades of this position.

Employment with New York State offers unmatched benefits, individual support, and career mobility for motivated individuals including: NYS pension and retirement programs; annual cost of living and performance advance increases; comprehensive medical, dental, and vision plans; flexible spending accounts for health and dependent care; paid time off, including thirteen paid holidays per year, and paid personal leave, vacation leave, and sick leave.

Specific scheduled hours and telecommuting availability for this position will be discussed during the interview process. Please note, employees are required to apply and obtain approval through management to telecommute according to operational needs and Agency Telecommuting Program Guidelines.

The Mission of the New York State Office of Mental Health is to promote the mental health of all New Yorkers, with a focus on providing hope and supporting recovery for adults with serious mental illness and children with serious emotional disturbances. Applicants with lived mental health experience are encouraged to apply. OMH is deeply committed to supporting underserved individuals, organizations, and communities.

To this end, OMH is focused on implementing activities and initiatives to reduce disparities in access, quality, and treatment outcomes for underserved populations. A critical component of these efforts is ensuring OMH is a diverse and inclusive workplace where all employees' unique attributes and skills are valued and utilized to support the…