Program Aide (NY HELPS) - 90040

New York State Department of Health; Montrose (NY); On-site; USD 60,000 - 72,000; Full time

Benefits offered by this job

Holiday & Paid Time Off

Public Service Loan Forgiveness (PSLF)

Pension from New York State Employees’

Shift & Geographic pay differentials

Affordable Health Care options

Family dental and vision benefits

Job summary

New York State Department of Health is seeking a Program Aide at the Montrose Veterans Home to manage the financial aspects of resident care from admission through discharge. The role focuses on payer source identification, documentation, and adherence to state and federal policies.

You will conduct financial interviews, educate residents and families on obligations and eligibility, and assist with Medicaid applications while working with external agencies and the Centralized Billing Office to

Qualifications

• 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 Program Aide.
• Eligible titles are available at: https://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm
• Promotional Provisional Qualifications may apply under NY HELPS program with required titles and service as described.

Responsibilities

• Manage and document financial interviews with residents/representatives from admission through discharge.
• Identify, verify, and secure payer sources including Medicaid, Medicare, private pay, and long-term care insurance.
• Coordinate with CBO, AGO, Medicaid offices, and external agencies to ensure timely billing and resolution of issues.

Job description

Duties Description

The Program Aide will have a financial coordinator role and will be responsible for managing the financial aspects of resident care from admission through discharge, ensuring accurate payer source identification, documentation, and compliance with all state and federal policies. The Program Aide will conduct comprehensive financial interviews with residents/representatives prior to admission and throughout their stay. This includes educating residents and families on financial obligations, eligibility, and required documentation, and ensuring all agreements and supporting financial documents are properly signed and clearly understood by residents/families. They will identify, verify, and secure appropriate payer sources, including Medicaid, Medicare, private pay, long-term care insurance, and other third-party payers. The incumbent will collect, review, and analyze financial documentation such as bank statements, income verification, asset records, insurance policies, and benefit award letters, and assist residents and families with the preparation, submission, and follow-up of Medicaid applications, working closely with external agencies. The Program Aide will manage and submit representative payee applications in accordance with social security administration guidelines. They will review and analyze monthly revenue reports, receive payments from all payer sources, and follow up on outstanding balances with residents, families, or third-party representatives to resolve issues. The Program Aide will work closely with the Centralized Billing Office (CBO) and Attorney General Office (AGO) regarding billing and revenue. They will monitor pending applications and proactively address issues to prevent delays or denials in payment and oversee the collection of private pay balances and NAMI owed. The Program Aide will communicate with Medicaid offices, county agencies, social services, and insurance providers to ensure processing and resolution of financial matters. They will handle all financial phone calls/emails, collaborate with admissions, social services, administration, and billing departments to facilitate smooth financial transitions and continuity of care. The Program Aide will document all financial interviews, communications, and determinations in resident records. The Program Aide will also participate in audits, case reviews, and appeals processes. They will maintain organized and secure electronic storage of all financial records, documentation, and correspondence. The incumbent will provide guidance to families and veterans in navigating disability evaluations and benefit application processes. In addition, the Program Aide will work with VA liaisons to support resident access to VA records and evaluations while ensuring compliance with federal, state, and facility policies regarding billing practices and payer source regulations.

Description

The Program Aide will have a financial coordinator role and will be responsible for managing the financial aspects of resident care from admission through discharge, ensuring accurate payer source identification, documentation, and compliance with all state and federal policies. The Program Aide will conduct comprehensive financial interviews with residents/representatives prior to admission and throughout their stay. This includes educating residents and families on financial obligations, eligibility, and required documentation, and ensuring all agreements and supporting financial documents are properly signed and clearly understood by residents/families. They will identify, verify, and secure appropriate payer sources, including Medicaid, Medicare, private pay, long-term care insurance, and other third-party payers. The incumbent will collect, review, and analyze financial documentation such as bank statements, income verification, asset records, insurance policies, and benefit award letters, and assist residents and families with the preparation, submission, and follow-up of Medicaid applications, working closely with external agencies. The Program Aide will manage and submit representative payee applications in accordance with social security administration guidelines. They will review and analyze monthly revenue reports, receive payments from all payer sources, and follow up on outstanding balances with residents, families, or third-party representatives to resolve issues. The Program Aide will work closely with the Centralized Billing Office (CBO) and Attorney General Office (AGO) regarding billing and revenue. They will monitor pending applications and proactively address issues to prevent delays or denials in payment and oversee the collection of private pay balances and NAMI owed. The Program Aide will communicate with Medicaid offices, county agencies, social services, and insurance providers to ensure processing and resolution of financial matters. They will handle all financial phone calls/emails, collaborate with admissions, social services, administration, and billing departments to facilitate smooth financial transitions and continuity of care. The Program Aide will document all financial interviews, communications, and determinations in resident records. The Program Aide will also participate in audits, case reviews, and appeals processes. They will maintain organized and secure electronic storage of all financial records, documentation, and correspondence. The incumbent will provide guidance to families and veterans in navigating disability evaluations and benefit application processes. In addition, the Program Aide will work with VA liaisons to support resident access to VA records and evaluations while ensuring compliance with federal, state, and facility policies regarding billing practices and payer source regulations.

Duties Description

The Program Aide will have a financial coordinator role and will be responsible for managing the financial aspects of resident care from admission through discharge, ensuring accurate payer source identification, documentation, and compliance with all state and federal policies. The Program Aide will conduct comprehensive financial interviews with residents/representatives prior to admission and throughout their stay. This includes educating residents and families on financial obligations, eligibility, and required documentation, and ensuring all agreements and supporting financial documents are properly signed and clearly understood by residents/families. They will identify, verify, and secure appropriate payer sources, including Medicaid, Medicare, private pay, long-term care insurance, and other third-party payers. The incumbent will collect, review, and analyze financial documentation such as bank statements, income verification, asset records, insurance policies, and benefit award letters, and assist residents and families with the preparation, submission, and follow-up of Medicaid applications, working closely with external agencies. The Program Aide will manage and submit representative payee applications in accordance with social security administration guidelines. They will review and analyze monthly revenue reports, receive payments from all payer sources, and follow up on outstanding balances with residents, families, or third-party representatives to resolve issues. The Program Aide will work closely with the Centralized Billing Office (CBO) and Attorney General Office (AGO) regarding billing and revenue. They will monitor pending applications and proactively address issues to prevent delays or denials in payment and oversee the collection of private pay balances and NAMI owed. The Program Aide will communicate with Medicaid offices, county agencies, social services, and insurance providers to ensure processing and resolution of financial matters. They will handle all financial phone calls/emails, collaborate with admissions, social services, administration, and billing departments to facilitate smooth financial transitions and continuity of care. The Program Aide will document all financial interviews, communications, and determinations in resident records. The Program Aide will also participate in audits, case reviews, and appeals processes. They will maintain organized and secure electronic storage of all financial records, documentation, and correspondence. The incumbent will provide guidance to families and veterans in navigating disability evaluations and benefit application processes. In addition, the Program Aide will work with VA liaisons to support resident access to VA records and evaluations while ensuring compliance with federal, state, and facility policies regarding billing practices and payer source regulations.

Qualifications

Minimum Qualifications

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 Program Aide. Eligible titles are available at: https://www.cs.ny.gov/businesssuite/title-transfer-matrix.cfm

Promotional Provisional Qualifications

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 of permanent competitive or 55-b/55-c service as an office assistant, clerical, keyboarding, or paraprofessional title allocated to Grade 6 or higher. To view a list of qualifying titles visit: https://www.cs.ny.gov/examannouncements/announcements/00528qualifying.cfm.

Non-Competitive Appointment – NY HELPS Program

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.

NY HELPS Noncompetitive Qualifications

Three years of experience performing clerical, keyboarding, or paraprofessional work in an office environment.

Additional Comments

One contingent permanent, 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 contingent 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 Veterans Home at Montrose and have one year of permanent competitive service as an office assistant, clerical, keyboarding, or paraprofessional title allocated to Grade 6 or higher. To view a list of qualifying titles visit: https://www.cs.ny.gov/examannouncements/announcements/00528qualifying.cfm.

The posted salary range includes ($59,967 - $72,140) includes a downstate adjustment of $4,150.

When reviewing qualifications, omissions and vagueness cannot be interpreted in the candidate’s favor. Candidates are responsible for providing accurate and clear descriptions of their experience demonstrating how they meet the minimum qualifications.

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

Benefits

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 [phone] or email [e-mail] to make a request.

The 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 of the position (beginning of the salary range). 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.