Reimbursement Officer I

Posting ID 20281 -Posted - Health & Human Services Comm - Reimbursement - Business and Financial Operations - San Antonio State Supported Living Center - Not Eligible for Telework - Additional Shifts available (1) - a. $1 - $2999 per month 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 I Job Title: Reimbursement Officer I Agency: Health & Human Services Comm Department: Reimbursement Posting Number: 20281 Closing Date: 09/04/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $2,820.00-$4,149.83 Pay Frequency: Monthly Salary Group: TEXAS-B-12 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: San Antonio State Supported Living Center Job Location City: SAN ANTONIO Job Location Address: 6711 S NEW BRAUNFELS AVE Other Locations: None MOS Codes: No military equivalent Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Essential Job Functions (EJFs): Attends work on a regular basis and may be required 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. Gathers all rendered, reimbursable services for individuals with Medicare on a monthly basis. Meets with facility. physicians to ensure the codes used are the most accurate for rendered services Prepares a Monthly Charge Report for individuals with Medicare, using information pulled from IRIS and Individuals' medical charts. Reviews the information for accuracy and makes corrections as necessary using a current Medicare Fee Schedule. Enrolls eligible individuals into a Medicare Part D Drug Program that best fits the individuals’ needs, and enters the information in the online CARE System. Establishes and maintains records on a daily basis, including documents, correspondence, forms, and lists for each individual with Medicare on campus, as well as maintains an Excel list with Medicare information updates as necessary. Prepares Medicare enrollment or revalidation forms for physicians who are employed or contracted by the facility. Assists in Medicare audits, and other related work, as required. 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 collection and accounting, and of the rules and regulations governing reimbursement for agency services. Knowledge of the workings of Medicare Part A, Part B and Part D, as well as ICD-10-CM, CPT and HCPCS codes used when gathering monthly billing information. Skill in use of Electronic Health Records (IRIS), general office equipment, and in the operation of computers and applicable computer software. Ability to communicate effectively. Registrations, Licensure Requirements or Certifications: None Initial Screening Criteria: Graduation from a standard senior high school or equivalent. Experience in claims processing, health-related account and collection work, and Medicare enrollment. Experience with preparing and billing medical claims with Private, Managed Care or Government insurance agencies 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 Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. 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 tothose 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 click.appcast.io. 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. #J-18808-Ljbffr