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Texas Health and Human Services

Reimbursement Officer II

Texas Health and Human Services, Big Spring, Texas, United States, 79720

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Reimbursement Officer II

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Posted: Dec 10, 2025 | Location: Big Spring, TX | Facility: Big Spring State Hospital, 1901 N Highway 87.

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.

Job Details

Functional Title: Reimbursement Officer II

Job Title: Reimbursement Officer II

Agency: Health & Human Services Comm

Department: Reimb/Revenue Mgmt

Posting Number: 12010

Closing Date: 12/24/2025

Posting Audience: Internal and External

Occupational Category: Office and Administrative Support

Salary Group: TEXAS-B-14

Salary Range: $3,095.33 - $4,594.50

Pay Frequency: Monthly

Shift: Day

Additional Shift: Days (First)

Telework: Not Eligible for Telework

Travel: Up to 10%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: Big Spring State Hospital

Job Location City: BIG SPRING

Job Location Address: 1901 N HIGHWAY 87

Other Locations: Big Spring

MOS Codes: No military equivalent

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 nine psychiatric hospitals, one youth residential treatment facility, 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.

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.

Utilizes systems/software and/or state databases daily to confirm insurance coverage and eligibility, including Electronic Health Record Application, Local and Federal Government systems, and third‑party insurance verification systems.

Independently determines a patient’s billable rate based on financial information and the sliding scale promulgated in HHSC rule, the government benefit or commercial insurance co‑pay, co‑insurance or deductible levels.

Performs data entry/revision and updates to computer databases/systems/software, entering gathered information into the Electronic Health Record to ensure appropriate client ledger charge allocation and guarantor setup.

Creates resulting bills for services while following procedures for creation of billing and completing standardized billing template, for self‑pay/Co‑Pay/Co‑Insurance and Deductible Billings, and reconciles patient ledger to bill generated to ensure accurate records.

Posts collections into the patient’s record in the health record system, coordinating with the cashier at the local business office to ensure balanced postings of revenue to patient account against receipt records.

Generates self‑pay statements for accounts with balances to be delivered to patients, confirming ledger balances, charges, and retaining copies sent out each month within the hard copy patient record.

Performs other duties as assigned, including participation in disaster response or continuity of operations activation, which may require alternate shift patterns or location.

Knowledge, Skills and Abilities (KSAs)

Knowledge of health‑care billing as it relates to psychiatric services and revenue management.

Skilled in the use of typical office equipment and systems, including computer, databases, webpages, telephone, multi‑function copier and Microsoft Office Outlook, Word, and Excel.

Ability to communicate effectively both written and orally to internal and external parties.

Registrations, Licensure Requirements or Certifications None

Initial Screening Criteria

Minimum of One (1) year of experience working in billing/reimbursement office 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 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. Employees are required to be vaccinated according to their level of contact with individuals. Unvaccinated employees may be required to wear a mask and take other protective measures.

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.

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 online 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.

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