Position Information

NY HELPYes

AgencyHealth, Department of

TitleOffice Assistant 2 (Calculations) (NY HELPS) (NYS Department of Health Veteran Homes Centralized Billing Office) - 31131

Occupational CategoryClerical, Secretarial, Office Aide

Salary Grade09

Bargaining UnitASU - Administrative Services Unit (CSEA)

Salary RangeFrom $42641 to $52413 Annually

Employment Type Full-Time

Appointment Type Permanent

Jurisdictional Class Competitive Class

Travel Percentage 0%

Schedule

Workweek Mon-Fri

Hours Per Week 37.5

Workday

From 8 AM

To 4 PM

Flextime allowed? No

Mandatory overtime? No

Compressed workweek allowed? No

Telecommuting allowed? No

Location

County Chenango

Street Address Health Facilities Management

4334 State Hwy. 220

City Oxford

StateNY

Zip Code13830

Job Specifics

Duties Description Will perform medical billing and claims processing, including payment, coordination or subrogation of benefits. Review claims for eligibility and explains coverage amounts and benefit plan interpretation to patients or their representatives. Review claims for irregularities, accuracy, completeness, and obtains additional information as needed. Use existing procedures to solve routine or standard problems. Complete follow-up activities on denied, unpaid, or underpaid accounts, as well as contacts payer representatives to research and resubmit rejected claims to obtain and verify insurance coverage. -Follow-up on unpaid accounts working claims, and review reasons for claim denial. Review the payer website or contacts payer representatives to determine why claims are not paid. Determine steps necessary to secure payment and completes and documents follow up by resubmitting claims or deferring tasks. Researche and calculate under or overpaid claims; determine final resolution. Contact payers on incorrectly paid claims completing resolution and adjudication. Adjusts accounts or processes insurance refund credits. Reviews and advises leadership on incorrectly paid claims from specific payers. Works with leadership to communication with payer representatives regarding payment trends and issues. Bills primary and secondary insurance claims. Identify and clarify billing issues, payment variances, and/or trends that require management intervention. Assist department leadership with credit balances, account reviews/resolutions, and all audits. Coordinate response and resolution to Medicaid and Medicare credit balances. Request insurance adjustments or retractions. Review and works all insurance credits in the electronic health record. Enter electronic health record notes, documenting actions taken. -Researches and responds to third-party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations. Assist with patient related questions. Communicate and coordinate with other departments to resolve claim issues. Assist with all audits as needed. May coordinate and/or train lower-level staff as required. Other duties as assigned.

Minimum Qualifications Reassignment: Current eligible New York State Department of Health employee with permanent or contingent permanent status as an Office Assistant 2.

Transfers: Current New York State employee with one or more years of permanent, contingent-permanent, or 55 b/c service in a position eligible for transfer under Section 70.1 of the Civil Service Law to Office Assistant 2. Eligible titles are available at: https://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm

Promotion Provisional Appointment: In the absence of an eligible list with three or more candidates willing to accept a position, a temporary provisional appointment may be considered. For provisional appointment, candidates must meet one of the following minimum qualifications: Be a current NYS Department of Health employee with one year as an office assistant, clerical, or keyboarding title allocated to Grade 6 or higher. Qualifying titles are available at: https://www.cs.ny.gov/examannouncements/announcements/38687titles.cfm.

Open Competitive HELPS qualifications: If less than three interested and qualified New York State Department of Health employees serving in the direct-line, lower-level title(s) within the agency apply to this opportunity, the agency may make a non-competitive appointment under the NY HELPS program: One year of experience where most work time is spent performing mathematical operations, and/or clerical activities related to mathematical operations.

Additional Comments One permanent, competitive, full-time appointment.

Transfer candidates may be asked for their Social Security Number to verify your transfer eligibility. For more information on transfer types, transfer eligibility criteria, and the current transfer determinants for your title, visit the following website: https://careermobilityoffice.cs.ny.gov/cmo/gotit/title-search/index.cfm

If there are three or fewer qualified candidates interested in the appointment to this position, a permanent appointment may be made pursuant to Section 52.7 of the Civil Service Law. To be eligible, candidates must be an employee of the Department of Health
with one year as an office assistant, clerical, or keyboarding title allocated to Grade 6 or higher.

This position is part of the NYS HELPS program. No examination is required.

We offer a work-life balance and a generous benefits package, worth 65% of salary, including:

• Holiday & Paid Time Off
• Public Service Loan Forgiveness (PSLF)
• Pension from New York State Employees’ Retirement System
• Shift & Geographic pay differentials
• Affordable Health Care options
• Family dental and vision benefits at no additional cost
• NYS Deferred Compensation plan
• Access to NY 529 and NY ABLE College Savings Programs, and U.S. Savings Bonds
• And many more...

NYS Department of Health does not participate in E-Verify and does not sponsor visa applications.

For new State employees appointed to graded positions, the annual salary is the hiring rate (beginning of the Salary Range) of the position. Promotion salaries are calculated by the NYS Office of the State Comptroller in accordance with NYS Civil Service Law, OSC Payroll rules and regulations and negotiated union contracts.

The NYS Department of Health is committed to making New York a safer, healthier, and more equitable place to live. Understanding health equity, social determinants of health and health disparities is critical to accomplish our goal of eliminating health disparities. For more information on the NYS Department of Health’s Mission, Vision, Values and Strategic Plan, please visit: https://health.ny.gov/commissioner/index.htm

Some positions may require additional credentials or a background check to verify your identity.

How to Apply

Name Human Resource Management Group

Telephone 518-486-1812

Fax 518-473-3395

Email Address Resume@health.ny.gov

Address

Street Corning Tower, Empire State Plaza, Room 2217

City Albany

State NY

Zip Code 12237

 

Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to resume@health.ny.gov, with Reference EH/OA2/31131 included in the subject line or by mail to Human Resources Management Group, EH/OA2/31131, Rm 2217, Corning Tower Building, Empire State Plaza, Albany, NY 12237-0012, or by fax to (518) 473-3395. Failure to include the required information may result in your resume not being considered for this position.