Overview
Administrative Assistant II Reimbursement Officer Jobs in Denton, Texas, USA at Texas Health and Human Services
Administrative Assistant II Reimbursement Officer
Date:
Jan 22, 2025
Location:
DENTON, TX
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating apositive impactin the lives of fellow Texans. At HHSC, your contributions matter, and wesupport youat each stage of your life and work journey. Ourcomprehensive benefits packageincludes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerousopportunities for career advancementand more.
Functional
Title:Administrative Assistant II Reimbursement Officer
Job Title:Administrative Asst II
Agency:Health & Human Services Comm
Department:Reimbursement
Posting Number:695
Closing Date:03/02/2025
Posting Audience:Internal and External
Occupational Category:Office and Administrative Support
Salary Group:TEXAS-A-11
Salary Range:$2,694.33-$3,946.25
Shift:Day
Telework:Not Applicable
Travel:Up to 5%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility
Location:Denton State Supported Living Center
Job Location City:DENTON
Job Location Address:3980 STATE SCHOOL RD
Brief Job Description:
Performs advanced technical work in pursuit of reimbursement for services provided to individuals at HHSC State Supported Living Center facilities. Work involves obtaining financial information, establishing and maintaining accounts receivable in automated data system and processing claims against third party sources; and frequent contact with the public in person, correspondence, and by telephone. Also performs clerical work in areas such as bookkeeping, statistics, and may perform diagnostic coding.
Abides by all Denton SSLC policies and procedures and maintains an effective, harmonious relationship with all staff, families, and residents. Works under the general supervision of and work is subject to review by the Reimbursement Manager.
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.
Performs various activities necessary to collect Medicaid under the ICF-IDD program; calculates billing rates; maintains accounts in automated system; monitors and reports changes in individuals’ income, and resources; adjusts budgets; resolves problems related to Medicaid eligibility of individuals.
Performs various activities necessary to collect Medicare Part B reimbursement for physician services; prepares, distributes, and tracks service documentation sheets; gathers medical service data; submits physician applications for enrollment; maintains price listing and coding information; compiles and submits claims; posts payments to accounts in automated mainframe system; maintains reports of claims and collection data; researches denials and discrepancies; submits medical records as requested to the carrier.
Establishes and maintains accounts receivables and enters financial transactions into the automated data system. Answers inquiries on individual accounts as requested by payers.
Performs various activities necessary to collect reimbursement from other 3rd party payers and individuals; contacts appropriate agencies to confirm eligibility for Medicare, Medicaid, Champus, insurance, VA, etc.; completes and submits applications, forms, and paper claims for reimbursemen…
Title: Administrative Assistant II Reimbursement Officer
Company: Texas Health and Human Services
Location: Denton, Texas, USA
Category: Healthcare, Administrative/Clerical
