Review Vacancy
TitleOffice Assistant 2 (Calculations) (NY HELPS) (NYS Veterans' Home - Central Billing Office) - 91139
Occupational CategoryHealth Care, Human/Social Services
Bargaining UnitASU - Administrative Services Unit (CSEA)
Salary RangeFrom $42641 to $52413 Annually
Duties Description The Office Assistant 2 (Calculations) will be responsible for the review of daily census and completion of any updates to paysource information for patients.
The incumbent is responsible for the completion of any paysource setups/chart creation for new patients, leave of absences, and coverage changes.
The Office Assistant 2 (Calculations) oversees the monthly billing preparation of patient charting (record keeping, insurance verification, coverage or eligibility updates, correct set ups in paysource screens). As well as monthly billing (run preliminary coverage reports, verify for accuracy, run billing through billing program, claim creation and processing). They will bill primary, secondary, tertiary, and long-term care claims to insurance.
They are responsible for processing ancillary billing, as well as billing follow up (payment tracking, analyzing payments for irregularities, accuracy, and completeness, ensure payment is received and not over or underpaid, claim research for denials, insurance phone calls, aged account review/research, completion of necessary write off’s.)
The Office Assistant 2 (Calculations) will Research and calculate under or overpaid claims and determines final resolution. They will contact payers on incorrectly paid claims completing resolution and adjudication and adjusting accounts, or processes insurance refund credits. The incumbent will review and advise leadership on incorrectly paid claims from specific payers and work with leadership on communication to payer representatives regarding payment trends and issues
The Office Assistant 2 (Calculations) researches and responds to third party correspondence, receives phone calls, and explains policies and procedures involving routine and non-routine situations. Along with assisting with patient related questions. The incumbent is responsible for communicating and coordinating with other departments to resolve claim issues and will assist with all audits as needed.
Minimum Qualifications Reassignment: Current New York State Department of Health Veterans' Home at Montrose employee with permanent or contingent permanent status as a Office Assistant 2 Calculations.
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 (Calculations). 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 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.
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
Open Competitive HELPS qualifications: One year of experience where most work time is spent performing mathematical operations, and/or clerical activities related to mathematical operations.
Preferred Qualifications: The Preferred candidate will have experience working in a centralized billing office.
Additional Comments Work hours will be determined upon hiring from the following shifts: 8:00 AM – 4:00 PM, 8:30 AM – 4:30 PM, or 9:00 AM – 5:00 PM.
One permanent (or provisional), competitive full-time appointment, or non- competitive full-time appointment via HELPS.
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
Non-Competitive Promotion: 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 a current NYS Department of Health employee with one year as an office assistant, clerical, or keyboarding title allocated to Grade 6 or higher. To view a list of qualifying titles visit: https://www.cs.ny.gov/examannouncements/announcements/00528qualifying.cfm.
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...
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
If you require reasonable accommodation to complete a job application, a job interview or to otherwise participate in the hiring process, please contact by phone 518-486-1812 or email doh.sm.reasonable.accommodation@health.ny.gov to make a request.
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.
Some positions may require additional credentials or a background check to verify your identity.
Name Centralized Billing Office (CBO)
Email Address oxfordhr@nysvets.org
Address
Street Centralized Billing Office (CBO)
4334 County Road 32
Notes on ApplyingPlease submit your resume and cover letter as one (1) document, preferably in PDF format, by email to oxfordhr@nysvets.org, with Reference 91139/OA2 (Calc) included in the subject line or by mail to Human Resources Department , 91139/OA2 (Calc), 4207 State Hwy. 220, Oxford NY 13830, or by fax to (607) 843-3236. Failure to include the required information may result in your resume not being considered for this position.