Medicare Reimbursement Specialist

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

Qualification Requirements
1. 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
2. Education and/or experience which is equivalent to "1" above.

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.