Resources and Reimbursement Agent 1

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, 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.

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: $53,764*

Resources & Reimbursement Agent Trainee 2: $59,994*

Resources & Reimbursement Agent 1: $66,951* - $85,138*

If you are currently a New York State employee serving in a permanent competitive qualifying title and eligible for a transfer via Section 70.1 of the Civil Service Law, you may be appointed to this title as a permanent competitive employee.

The assignment of PS&T employees will be made in accordance with any agreed upon Memorandum of Understanding between PEF and the local DDSO regarding the posting of job vacancies.

Preference will be given to OPWDD employees impacted by closures. If you are being impacted by closure, please indicate this on your resume.

All OPWDD employees must be eligible and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.

If you are employed by state government you may be able to receive loan forgiveness under the Public Service Loan Forgiveness Program (PSLF). The PSLF Program forgives the remaining balance on Direct Loans after 120 qualifying monthly payments have been made under a qualifying repayment plan while working full-time for a qualifying employer. For more information on PSLF, please visit

Employees on long term leave can bid on positions but must be able to report to work within fourteen (14) days and be able to perform the essential functions of their positions with or without reasonable accommodation (RA).

If an employee or job applicant believes that they need a reasonable accommodation, they should contact the Reasonable Accommodation Unit at View phone number on click.appcast.io or email View email address on click.appcast.io to obtain information and RA forms.

Savings programs such as the U.S. Savings Bond and the College Savings Plan.

Voluntary pre-tax savings programs such as Health Care Spending Account and the Dependent Care Advantage Account offer employees options to pay for uncovered health care expenses or dependent care expenses.

Access to the Employee Assistance Program (EAP) an assessment and referral service that connects employees with local service providers and support services to address their personal needs.

Life insurance and Disability insurance.

The New York State Deferred Compensation Plan is a voluntary retirement plan that offers employees the option to invest a part of their salaries for retirement on a tax-deferred basis.

Paid Holidays and 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 to participate in professional development events.

Health Care Coverage: Employees and their eligible dependents can choose from a variety of affordable health insurance programs. Employees are provided family dental and vision plans at no extra cost.

Paid Parental Leave: Paid Parental Leave allows eligible employees to take up to 12 weeks of paid leave at full pay for each qualifying event. A qualifying event is defined as the birth of a child or placement of a child for adoption or foster care.

Retirement Program: Participate in The NYS Employees' Retirement System (ERS), which is recognized as one of the best-managed and best-funded public retirement systems in the nation.

Professional Development and Education and Training: NYS offers training programs and tuition assistance to eligible employees to maintain and increase their professional skills and prepare them for promotional opportunities. For more information, please visit

Additionally, the Public Service Workshops Program (PSWP) offers certain professional training opportunities for PEF represented and M/C designated employees that may grant continuing education credits towards maintaining professional licensure. For more information please visit

OPWDD is an Equal Opportunity/Affirmative Action employer dedicated to creating and sustaining a culture of inclusion. We believe that we are most effective in managing and improving our service system with a diverse team of employees. With such a large workforce, we rely on the collective individual differences, life experiences, knowledge, self-expression, ideas and talent that our employees bring to their work. This speaks to