Medicare Reimbursement Specialist

OFFICE OF LABOR RELATIONS; New York (NY); On-site; USD 52,000 - 68,000; Full time

Job summary

The Office of Labor Relations in New York City seeks a Medicare Reimbursement Specialist to review Medicare Part B and IRMAA applications for retirees and their dependents, ensuring eligibility and processing reimbursements in a timely manner.

The role requires meticulous documentation, coordination with agencies, and adherence to program policies. It includes liaising with stakeholders, meeting deadlines, and maintaining accurate records of reimbursement activity.

Qualifications

• High school graduation or equivalent and three years of experience in community work or related duties.
• Education/experience equivalent to above.

Responsibilities

• Process Medicare Part B premium reimbursements for eligible retirees and dependents.
• Review documentation to determine IRMAA reimbursement eligibility.
• Process complete IRMAA reimbursement applications within deadlines.
• Troubleshoot and resolve Medicare Part B and IRMAA reimbursement issues with retirees.
• Serve as liaison with agencies and employers regarding reimbursement matters.
• Ensure compliance with program policies and maintain accurate records.

Skills

MS Excel

Communication skills

Multi-tasking

Client service

Education

High school diploma or equivalent

Tools

NYCAPS database

Job description

The Office of Labor Relations (OLR) represents the Mayor in the conduct of all labor relations between the City of New York and labor unions representing employees of the City. The Commissioner serves on behalf of the Mayor as the City's liaison with both labor and management in the private sector. The office is authorized by Executive Order 38 (February 7, 1967), amended by Executive Order 13 (July 24, 1990). Additionally, OLR administers the Health Benefits Program, Management Benefits Fund, Employee Assistance Program, Work Well NYC, Medicare Part B Reimbursement, and Pre-Tax Benefits & Citywide Programs, including the Deferred Compensation Plan and NYCE IRA. In addition to negotiating collective bargaining agreements, OLR serves as a resource to agencies regarding labor issues and works with the Municipal Labor Committee (MLC) to pursue innovations in a variety of areas, particularly regarding City health insurance programs. OLR staff assist their fellow agencies in handling personnel and payroll issues, conducting labor-management meetings, representing the City at representation hearings, and handling all employee grievances and arbitration matters, while also negotiating collective bargaining agreements with the City's 149 bargaining units.

Job Description

The City reimburses City retirees who pay Medicare Part B and/or Income-Related Monthly Adjustment (IRMAA) premiums. The Health Benefits Program receives, on average, 12,000 new Medicare Part B applications annually and 17,000 IRMAA applications every year. These applications must be reviewed for eligibility and processed between May and September each year in order to meet the Medicare Part B and IRMAA reimbursement annual payments in April and October of every year.

The Medicare Reimbursement Specialist will be responsible for:

• Processing Medicare cards for Medicare-eligible retirees and their Medicare-eligible dependents to ensure reimbursement of standard Medicare Part B premiums.
• Reviewing required documentation to determine eligibility for IRMAA reimbursement.
• Processing complete IRMAA reimbursement applications accurately and within established deadlines.
• Troubleshooting Medicare Part B and IRMAA reimbursement issues and corresponding directly with retirees to resolve payment and eligibility concerns.
• Serving as the liaison with agencies and participating employers regarding reimbursement matters affecting retirees and their eligible dependents.
• Ensuring compliance with program policies and maintaining accurate records related to reimbursement activity.

COMMUNITY ASSOCIATE - 56057

Minimum Qualifications

Qualification Requirements

• High school graduation or equivalent and three years of experience in community work or community centered activities in an area related to duties described above; or
• Education and/or experience which is equivalent to "1" above.

Preferred Skills

• Proficient in MS Excel
• Knowledge of City's NYCAPS database
• Excellent written and verbal communication skills
• A composed individual able to multi-task, navigate multiple computer applications and work efficiently while communicating with and serving the client
• Flexible and quick learner

Public Service Loan Forgiveness

As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education's website at https://studentaid.gov/pslf/.

Residency Requirement

New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.

Additional Information

The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.