Reimbursement Officer III- Statewide Billing Team

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Functional Title: Reimbursement Officer III- Statewide Billing Team
Job Title: Reimbursement Officer III
Agency: Health & Human Services Comm
Department: Reimb/Revenue Mgmt
Posting Number: 20258
Closing Date: 09/18/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $3,409.83- $5,094.16
Pay Frequency: Monthly
Salary Group: TEXAS-B-16
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 5%
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
MOS Codes: No military equivalent

This position will be housed at one of the ten psychiatric hospitals in the State of Texas, and the 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 ten psychiatric hospitals, two youth residential treatment facilities, 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 and Terrell 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 View phone number on aiapply.co. 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.