Reimbursement Officer III- Statewide Billing Team Job Listing at Texas Health and Human Services in Terrell, TX (Job ID 1276774500)

Description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

 

Functional Title: Reimbursement Officer III- Statewide Billing Team 

Job Title: Reimbursement Officer III 

Agency: Health & Human Services Comm 

Department: Reimb/Revenue Mgmt 

Posting Number: 4424 

Closing Date: 06/24/2025 

Posting Audience: Internal and External 

Occupational Category: Business and Financial Operations 

Salary Group: TEXAS-B-16 

Salary Range: $3,409.83 - $5,094.16 

Shift: Day 

Additional Shift:  

Telework: Not Eligible for Telework 

Travel: Up to 10% 

Regular/Temporary: Regular 

Full Time/Part Time: Full time 

FLSA Exempt/Non-Exempt: Nonexempt 

Facility Location: Terrell State Hospital 

Job Location City: TERRELL 

Job Location Address: 1200 E BRIN 

 Other Locations: Terrell; Austin; Big Spring; El Paso; Kerrville; Rio Grande City; Rusk; San Antonio; Vernon; Waco; Wichita Falls   

 MOS Codes: 

No direct military equivalent. 

 

 

 

 

 

 This position will be housed at one of the nine psychiatric hospitals in the State of Texas, location will be discussed during the interview.

 

Brief Job Description:

 

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

 

Performs hospital patient reimbursement work, primarily work involves billing commercial insurance companies, Medicaid MCOs and Medicaid for charges for the support, maintenance, and treatment provided to hospital patients. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

 

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

 

Essential Job Functions (EJFs):

 

Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

 

Conducts reviews of patient files to ensure treatment complies with Medicaid regulations to ensure appropriate reimbursements for the all the hospitals in the state hospital system.

 

Determines amounts to be charged for care and treatment based on treatment and care provided and terms of commercial insurance coverage or Medicaid rules.

 

Determines proper payment, collection of charges, and issuance of payment on claims for all the state hospitals in the state psychiatric hospital system for commercial insurers, Medicaid MCOs and Medicaid.

 

Establishes charges and creates claim batches in the electronic health records system.

 

Resolves billing problems with electronic claim batches to ensure the submission of "clean claims".

 

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

 

Knowledge, Skills and Abilities (KSAs):

 

Knowledge of the principles of psychiatric hospital reimbursement and claim procedures, and of the rules and regulations for billing and claims for clinical services provided by the state.

 

Skill in calculating obligations based upon a published set of rules or contract provisions; and in the use of general office equipment, computers, and applicable computer software.

 

Ability to communicate effectively to ensure adequate clinical documentation for billings is obtained and provided as necessary to support claims.

 

Registrations, Licensure Requirements or Certifications:

 

None

 

Initial Screening Criteria:

 

Minimum of two (2) years of experience as a Reimbursement Officer II OR two (2) years of experience in the billing/reimbursement operations for a direct care provider.

 

Experience in billing for inpatient psychiatric services is preferred.

 

Experience with local, state, and federal laws and regulations relevant to a public entity is preferred.

 

Additional Information:

 

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

 

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

 

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

 

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

 

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

 

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

 

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

 

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

 

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

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