Resources & Reimbursement Agent 1/Trainee 1&2 (NYS HELPS), Central Office;

Location: NYS Office of Mental Health, 625 Madison Street, Syracuse, NY 13210

About the Role

The Office of Mental Health is recruiting for a Resources & Reimbursement Agent 1/Trainee in the State Operations Finance Group. Reporting to a Resource & Reimbursement Agent 3, the incumbent will support the RRA3 in maintaining a caseload of inpatients, outpatients, and residential clients, developing reimbursement for New York State OMH facilities, and developing entitlements for individuals served by OMH.

Responsibilities

• Investigate, develop, and protect clients’ financial resources.
• Investigate disability, medical and hospital benefits, and insurance coverage and determine ability to pay.
• Acquire knowledge about all reimbursement and program sources available to recipients of OMH services such as Medicare, Medicaid, health insurance, Social Security, Veteran’s Administration, Food Stamps, and other government programs as well as private ability to pay.
• Acquire knowledge about and be able to access and use OMH, Medicaid, and other benefit and insurance-related computer applications.
• Review and discuss with patients/clients, their families, attorneys, and other interested parties concerning clients’ finances.
• Set charges and ensure that reserves and adequate spending allowances are maintained.
• Work with OMH facilities and community residences regarding financial aspects of client support systems; and interact with other agencies such as Social Security, local Department of Social Services, and billing intermediaries.

Requirements

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.

Associate degree may substitute for two years of specialized experience; bachelor's degree may substitute for four years of specialized experience; master's degree may substitute for five years of specialized experience; J.D. may substitute for six years of specialized experience.

Additional Opportunities

55BC Opportunity: Must meet the Non-Competitive minimum qualifications above. 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.

Transfer Opportunity: 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.

Pay

Annual salary ranges from $53,764 to $66,951, depending on experience and qualifications.

Schedule

• Full-time, permanent appointment.
• Workweek: Monday to Friday, 37.5 hours per week.
• Workday: 8 AM to 4:30 PM (flexible end time implied by "12 AM" likely a typo).
• Flextime: Not allowed.
• Mandatory overtime: Not required.
• Compressed workweek: Not allowed.
• Telecommuting: Allowed, subject to operational needs and Agency Telecommuting Program Guidelines.

Benefits

• 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.

About the Agency

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 mission of the Agency.

OMH is an equal opportunity/affirmative action employer.