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

The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuityas well as 401(k) and 457 Programs under the Employees Retirement System of Texas.

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!

Performs various activities necessary to collect Medicare Part B reimbursement for physicians’ services including consultations and ancillary services including, EKG, vaccines, injections, etc. ; prepares, distributes, and tracks service documentation sheets; gathers medical service data; submits physicians applications for enrollment; maintains price lists and coding information; compiles and submits paper and electronic claims; posts payments, adjustments, or recoupment to accounts in automated mainframe system; maintains logs and reports of claims collection data; researches denials and discrepancies, and takes appropriate action for the resolution of the denial. Establishes and maintains accounts receivables and enters transactions into the automated system. Answers inquiries on individual accounts as requested by payors. Performs various activities necessary to collect reimbursement from other 3rd-party payors and from individuals; contacts appropriate agencies to confirm eligibility for Medicare, Medicaid, CHAMPUS, CHAMPVA, commercial insurance, etc; completes and submits applications, forms, and paper claims for reimbursement, including medical records as required; coordinates claim submission when multiple third-party sources exist; sends form letters regarding payments and delinquent accounts; and posts payments, adjustments, or recoupment to mainframe accounts receivables system. Performs various activities necessary to ensure enrollment and maintenance in the Medicare Part D program. Work with QMRP Department and Pharmacy regarding plan reviews and complete enrollment changes when instructed by the Personal Support Team (PST) and update all records. Communicate with the Medicare Part D Plans, Plan Administrator (PSP), Social Security, Medicare, PST and Pharmacy with regards to Part D issues. Maintains Medicare Part D correspondence files and enrollment lists. Reconciles (with cashier, trust fund clerk, and accounting office) monthly cash receipts for both third-party and non-third-party collections for proper crediting of individual accounts. As needed, provides to facility staff information pertaining to individuals’ financial status, 3rd party coverage of medical services obtained off-campus, and benefits under Social Security, Supplemental Security Income, Veteran Administration, Civil Service, etc. Performs office functions, including maintenance of files, distribution of daily mail, answering telephone, greeting visitors, word-processing and photocopying documents. Assists the Reimbursement Manager with obtaining and compiling information and completing forms to refer accounts to Reimbursement Attorney for investigation or collections. Will be working with Microsoft, Excel, Outlook and Access.

Essential Job Functions:

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.

Performs various activities necessary to collect Medicare Part B reimbursement for physicians’ services including consultations and ancillary services including, EKG, vaccines, injections, etc. ; prepares, distributes, and tracks service documentation sheets; gathers medical service data; submits physicians applications for enrollment; maintains price lists and coding information; compiles and submits paper and electronic claims; posts payments, adjustments, or recoupment to accounts in automated mainframe system; maintains logs and reports of claims collection data; researches denials and discrepancies, and takes appropriate action for the resolution of the denial. Establishes and maintains accounts receivables and enters transactions into the automated system. Answers inquiries on individual accounts as requested by payors. Performs various activities necessary to collect reimbursement from other 3rd-party payors and from individuals; contacts appropriate agencies to confirm eligibility for Medicare, Medicaid, CHAMPUS, CHAMPVA, commercial insurance, etc; completes and submits applications, forms, and paper claims for reimbursement, including medical records as required; coordinates claim submission when multiple third-party sources exist; sends form letters regarding payments and delinquent accounts; and posts payments, adjustments, or recoupment to mainframe accounts receivables system. Performs various activities necessary to ensure enrollment and maintenance in the Medicare Part D program. Work with QMRP Department and Pharmacy regarding plan reviews and complete enrollment changes when instructed by the Personal Support Team (PST) and update all records. Communicate with the Medicare Part D Plans, Plan Administrator (PSP), Social Security, Medicare, PST and Pharmacy with regards to Part D issues. Maintains Medicare Part D correspondence files and enrollment lists. Reconciles (with cashier, trust fund clerk, and accounting office) monthly cash receipts for both third-party and non-third-party collections for proper crediting of individual accounts. As needed, provides to facility staff information pertaining to individuals’ financial status, 3rd party coverage of medical services obtained off-campus, and benefits under Social Security, Supplemental Security Income, Veteran Administration, Civil Service, etc. Performs office functions, including maintenance of files, distribution of daily mail, answering telephone, greeting visitors, word-processing and photocopying documents. Assists the Reimbursement Manager with obtaining and compiling information and completing forms to refer accounts to Reimbursement Attorney for investigation or collections.
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 Abilities:
Knowledge of billing, collection, and account maintenance procedures. Skill in use of modern office equipment including calculator, photocopier, and personal computer. Ability to perform mathematical computations, and to understand and perform complex technical procedures. Ability to implement administrative procedures; to interpret rules regulations, policies, procedures and to maintain effective working relationships with individuals served and their representative, as well with associates, supervisors, and staff of the facility and other agencies.

Registration or Licensure Requirements:

Initial Selection Criteria:
Graduation from an accredited high school or GED, plus (2) years of work experience in a field related to the duties of the position.

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 OIG List of Excluded Individuals/Entities. 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.

All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process.

COVID-19 Precaution(s):

Personal protective equipment required and provided
Temperature screenings
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Vaccines available for employees

MOS Code:
Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 42A, YN, 0111, 3A1X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

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HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS 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.