Resources and Reimbursement Agent

Revenue And Reimbursement Agent

The Office for People With Developmental Disabilities (OPWDD) Division of Fiscal Policy and Management is seeking a person to work as a Revenue and Reimbursement Agent in Financial Benefits & Entitlements Assistance & Management (FBEAM) to help people with developmental disabilities live richer lives. The agent is part of the FBEAM team responsible for securing Medicaid, Medicare, SNAP, Supplemental Security Income, Social Security and other benefits for the people with developmental disabilities residing in state operations.

In addition, the FBEAM agent will also act on behalf of New York State Medicaid as a district worker, dealing with nonprofit agencies and the developmentally disabled individuals they serve.

The incumbent of the position will:

• Investigate and determine potential eligibility or continued eligibility for all financial benefits and assistance available to people with developmental disabilities.
• Develop financial benefits and entitlements; protect and preserve assets and continue eligibility for financial benefits.
• Maximize reimbursement by establishing charges and arranging payments.
• Communicate with Central Office, DDSOOs, DDRFOs, other State and Federal agencies, community agencies, people with developmental disabilities, their relatives and other advocates.
• Assist in financial benefits presentations and trainings.
• Complete special projects and assignments as assigned by supervisor.

Telecommuting will be discussed at interview.

OPEN COMPETITIVE:

• Resources & Reimbursement Agent Trainee 1, NS (equivalent to SG-14):
  Four years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.
• Resources & Reimbursement Agent Trainee 2, NS (equivalent to SG-16):
  Five years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.
• Resources & Reimbursement Agent 1, SG-18:
  Six years of experience conducting financial reviews and evaluations, determining payment sources, and developing and submitting claims for health care and treatment costs.

SUBSTITUTION:
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.

COMPETITIVE:
Candidates must be reachable for appointment on the current Civil Service Eligible List or the Professional Career Opportunities (PCO) Eligible List for this title.

TRANSFER:
Candidates must have one year of permanent competitive or 55-b/c status in the posted title and be eligible for lateral transfer; OR be eligible to transfer via Section 70.1, 70.4, or 52.6 of Civil Service Law. The transfer cannot be a second consecutive transfer resulting in an advancement of more than two salary grades.

To determine if your current Civil Service title is eligible for transfer to this title, visit the Career Mobility GOT-IT website .

55 B/C

QUALIFICATIONS:

Possess the minimum qualifications for this title as established by the Department of Civil Service and listed on the most recent exam announcement. Meet the applicable minimal mental and/or physical requirements for the job (with a reasonable accommodation, if necessary). Have a current Eligibility Letter from the NYS Department of Civil Service,(Use the "Apply for this Job" box below). and be able to provide it to the Human Resources Office upon request.

This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). HELPS Program titles may be filled via a non-competitive appointment. This means that you do not need to take an exam to qualify, but you do need to meet the minimum qualifications of the title. At a future date (within one year of permanent appointment), employees hired under NY HELPS are expected to have their permanent non-competitive employment status converted to permanent competitive status.

You will not have to take an exam to gain permanent competitive status. Appointments may also be made at the Resources & Reimbursement Agent Trainee levels. Candidates hired at the entry-level title (Resources & Reimbursement Agent Trainee
1) may be advanced to the full-performance level (Resources & Reimbursement Agent
1) following satisfactory completion of two-years of service. Salary range listed below encompasses the hiring rate of a Resources & Reimbursement Agent Trainee 1 through the job rate of a Resources & Reimbursement Agent
1. Resources & Reimbursement Agent Trainee 1: $57,764
* Resources & Reimbursement Agent Trainee 2: $63,994
* Resources & Reimbursement Agent 1: $70,951* - $89,138
* * Amounts include Downstate adjustment ($4,000).

If you are currently a New York State employee serving in a…