Reimbursement Officer Job Listing at Texas Health and Human Services in Richmond, TX (Job ID 13294-en_US)

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 
Job Title: Reimbursement Officer IV 
Agency: Health & Human Services Comm 
Department: Reimbursement 
Posting Number: 13294 
Closing Date: 04/27/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-18 
Salary Range: $3,793.41 - $5,921.25 
Pay Frequency: Monthly
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: Exempt 
Facility Location: Richmond State Supported Living Center 
Job Location City: RICHMOND 
Job Location Address: 2100 PRESTON 
Other Locations: Richmond 
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!

Reimbursement Officer IV plans, directs, and monitors the activities of the State Supported Living Center's Reimbursement office for services furnished by ICF/IID (Intermediate Care Facility for Individuals with Intellectual Disabilities) facilities.  Performs advanced (senior-level) reimbursement claims processing work. Performs professional, technical, and administrative duties managing the reimbursement office in a State Supported Living Center (ICF/IID) facility. Supervises the determination and assessment of proper reimbursement rates, maintenance of accounts receivable, and collection of charges for services provided by the facility specifically with Medicare, Medicaid, & Hospice billing.  Works directly with State Office Revenue Management staff, exercising a significant degree of initiative and independent judgement in the performance of duties, supervising one or more subordinates in their performance of reimbursement tasks. Manages the work of other Reimbursement Office staff and may assign duties as warranted to ensure proper completion and response of reimbursement tasks.  Reports to facility Assistant Director of Administration. 

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

• Performs various activities necessary to collect Medicaid under the ICF/ID program: completes and submits applications and Forms 90-I; calculates billing rates; maintains accounts in automated mainframe data system; monitors and reports changes in individuals' income, resources, and level of care to Texas Health and Human Services and Social Security; and calculates monthly work earning budgets.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (20%)
• Performs various activities necessary to enter non-third-party financial transactions into the automated data system.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (20%)
• Completes application process for benefits from Social Security, Supplemental Security Income, VA, Civil Service and Railroad programs on behalf of individuals with potential eligibility.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (15%)
• Performs various activities necessary to maintain Medicaid eligibility; completes all required Medicaid eligibility forms; Form 1200-PFS, PFS-2, SSA-454, and SSA-455.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (15%)
• Performs office functions, including maintenance of files, distribution of daily mail, answering telephone, greeting visitors, work processing and photocopying documents.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (15%)
• Reviews of VPS system reports and takes necessary action.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (10%)
• Monitors various activities necessary to collect Medicare Part B reimbursement for physicians' services including consultation and surgery and ancillary services including lab, radiology, EEG, EKG, vaccines, injections, and venipunctures.  All activities conform to established procedures as stated in the ID Reimbursement Policy and Procedure Manual.  (5%)
• Performs and/or oversees staff engaged in financial interviewing, financial investigations, asset research, and fee determinations.
• Performs related work as assigned.
• Assesses training needs based on observations and monitoring of reimbursement programs.
• Interprets, establishes, and implements policies and procedures.
• Resolves billing problems and financial determinations

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 billing, collecting, and account maintenance procedures in an institutional setting.
• Knowledge of HHSC rules and procedures related to records, account reconciliations, and confidentiality (HIPPA).
• Knowledge of HHSC mainframe computer applications, EHR (electronic health record), electronic billing, and personal computer applications related to reimbursement.
• Knowledge of various federal and state laws, regulations, and programs (Medicaid, Medicare, Social Security, Veterans Administration., Railroad Retirement, CHAMPUS) related to reimbursement for services performed at the facility.
• Familiarity with facility trust fund rules and procedures related to collection of reimbursement for services.
• Knowledge of Microsoft programs including Outlook, Word, Excel, Access, and any other applicable computer skills.
• Ability to perform mathematical computations, and to understand and perform complex technical procedures.
• Considerable knowledge of health-related accounting and collection procedures, and use of automated data processing in such procedures; of personnel management and office practices; and of federal and state laws, government regulations and agency rules governing reimbursement for agency services.
• Ability to select, train, and supervise qualified personnel in the technical and administrative duties of Reimbursement Office operations. 

Registrations, Licensure Requirements or Certifications:

None

Initial Screening Criteria:

Experience in claims processing and health-related account and collection work.

Bachelor's degree from an accredited college or university with major course of study in business administration or related field, and two (2) years responsible progressive experience in health-related account and collection procedures with supervisory experience; or high school graduation or equivalent and three (3) years' work experience in a related field involving administrative and technical responsibilities. 

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.

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.