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No Mandatory overtime?
No Compressed workweek allowed?
No Telecommuting allowed?
Yes Location CountyQueens Street AddressNYS Office of Mental Health 80-45 Winchester Boulevard Bldg 61 CityQueens Village StateNY Zip Code11427 Job Specifics Duties DescriptionThe 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:
ND
NYS Department of Civil Service
Resources & Reimbursement Agent 1/Trainee 1&2 (NYS HELPS), Central Office;
Career Insights for Claims Examiner (General)
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$85,722 / year median in New York
-0% projected decline
Job Description
Date Posted:
08/24/26Applications Due:
09/08/26Vacancy ID:
222412 Position Information NY HELPYes AgencyMental Health, Office of TitleResources & Reimbursement Agent 1/Trainee 1&2 (NYS HELPS), Central Office; Occupational CategoryFinancial, Accounting, Auditing Salary Grade18 Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF) Salary RangeFrom $57764 to $70951 Annually Employment TypeFull-Time Appointment TypePermanent Jurisdictional ClassCompetitive Class Travel Percentage0% Schedule WorkweekMon-Fri Hours Per Week37.5 Workday From8 AM To5 PM Flextime allowed?No Mandatory overtime?
No Compressed workweek allowed?
No Telecommuting allowed?
Yes Location CountyQueens Street AddressNYS Office of Mental Health 80-45 Winchester Boulevard Bldg 61 CityQueens Village StateNY Zip Code11427 Job Specifics Duties DescriptionThe 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 QualificationsNon-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.