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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:
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!
The Reimbursement Officer performs routine reimbursement or claims processing work. Maintains files on each Medicare covered individual and gathers all rendered reimbursable services from the individual’s charts for purpose of billing. Maintains a working master list containing Medicare information on each individual covered by Medicare and participates in Medicare Audits. Performs various activities necessary to collect Medicare under the Intermediate Care Facilities for individuals with Intellectual Disability (ICF/ID) program. Completes and submits applications and forms in a timely manner to enroll each physician in the ICF/ID Medicare program. Responsible for enrolling each eligible individual into a Medicare Part D plan. Performs regular office functions including file maintenance, answering telephones, greeting visitors and computer entry daily.
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.
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.
