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

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, G-23, 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 include but are not limited to:

• 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.

Minimum Qualifications

Non-Competitive HELPS:

Trainee 1 ($57,764): 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 ($63,994): 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 ($70,951): 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 five years of specialized experience; J.D. may substitute for six years of specialized 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.

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.