Resources and Reimbursement Agent 1

OPWDD provides high-quality, person-centered services, supports, and advocacy to people with developmental disabilities in New York State. Our guiding principle in our interactions with the people we serve and each other is “Putting People First,” exemplified by values of compassion, dignity, diversity, excellence, and honesty.

About the role

The Office for People With Developmental Disabilities (OPWDD) Division of Fiscal Policy and Management is seeking 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 people with developmental disabilities residing in state operations. The agent will also act on behalf of New York State Medicaid as a district worker, dealing with nonprofit agencies and the individuals they serve.

Responsibilities

• 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.

Requirements

Open Competitive:

• Resources & Reimbursement Agent Trainee 1, NS (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 (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 eligibility, 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, www.cs.ny.gov/rp55/.

Pay

• Resources & Reimbursement Agent Trainee 1: $53,764*
• Resources & Reimbursement Agent Trainee 2: $59,994*
• Resources & Reimbursement Agent 1: $66,951* - $85,138*

Salary range encompasses the hiring rate of a Resources & Reimbursement Agent Trainee 1 through the job rate of a Resources & Reimbursement Agent 1. Candidates hired at the entry-level title (Trainee 1) may advance to the full-performance level (Agent 1) following satisfactory completion of two years of service.

Benefits

• Paid Leave:
  • Thirteen (13) paid holidays each year.
  • Thirteen (13) days of paid vacation leave initially.
  • Five (5) days paid personal leave each year.
  • Thirteen (13) days of paid sick leave each year (PEF/CSEA), which may carry over from year to year.
  • Up to three (3) days professional leave each year for professional development events.
  • Paid Parental Leave: Up to 12 weeks of paid leave at full pay for birth, adoption, or foster care placement.
• Health Care Coverage: Employees and their eligible dependents can choose from a variety of affordable health insurance programs, including family dental and vision plans at no extra cost.
• Retirement Program: Participate in The NYS Employees’ Retirement System (ERS), recognized as one of the best-managed and best-funded public retirement systems in the nation.
• Insurance: Life insurance and disability insurance.
• Savings Programs:
  • U.S. Savings Bond and College Savings Plan.
  • Voluntary pre-tax savings programs such as Health Care Spending Account and Dependent Care Advantage Account.
  • New York State Deferred Compensation Plan, a voluntary retirement plan allowing tax-deferred salary investments.
• Employee Assistance Program (EAP): An assessment and referral service connecting employees with local service providers and support services.
• Professional Development: Training programs and tuition assistance for eligible employees. Additional opportunities through the Public Service Workshops Program (PSWP) may grant continuing education credits.
• Loan Forgiveness: Eligibility for the Public Service Loan Forgiveness Program (PSLF) after 120 qualifying monthly payments while working full-time for a qualifying employer. More information at www.studentAid.gov/publicservice.

This title is part of the New York HELPS Program, allowing non-competitive appointments for candidates meeting minimum qualifications. Employees hired under NY HELPS are expected to convert to permanent competitive status within one year.