Top 35 Insurance claims processing occupations Jobs in Texas

Reimbursement Analyst I
Health & Human Services Comm —Austin, TX
- $4,523.26 - $7,253.83 a month
- Online Application
- Hybrid work
- Office
- Bachelor's degree
- Continuous improvement
- Health insurance
- Opportunities for advancement
Quick Apply
2d
PRAA Operations-Claims Subject Matter Expert
Health & Human Services Comm —Austin, TX
- $4,263.16 - $5,521.16 a month
- Online Application
- Research
- Office
- Bachelor's degree
- Health insurance
- Opportunities for advancement
Quick Apply
Research Specialist V
Health & Human Services Comm —Austin, TX
- $5,425.33 - $7,155.75 a month
- Online Application
- Office
- Master's degree
- Analysis skills
- Health insurance
- Opportunities for advancement
Quick Apply
Customer Service Representative (Fort Worth)
Texas Workforce Commission —Fort Worth, TX
- $3,127.54 a month
- Online Application
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- 401(k)
13d
Customer Services Representative (San Antonio)
Texas Workforce Commission —San Antonio, TX
- $3,127.54 a month
- Online Application
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- 401(k)
4d
Healthcare Financial Data Analyst
Health & Human Services Comm —Austin, TX
- $5,281 - $7,281 a month
- Online Application
- Hybrid work
- Microsoft Access
- Microsoft Outlook
- Word processing
- Health insurance
- Opportunities for advancement
Quick Apply
7d
Customer Service Rep IV
Health & Human Services Comm —Austin, TX
- $3,581.33 - $4,476.91 a month
- Online Application
- Research
- Mid-level
- Military encouraged
- Health insurance
- Opportunities for advancement
Quick Apply
2d
Customer Services Representative (El Paso)
Texas Workforce Commission —El Paso, TX
- $3,217.54 a month
- Online Application
- Hybrid work
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- 401(k)
10d
Accountant IV
Health & Human Services Comm —Austin, TX
- $4,263.16 - $5,521.16 a month
- Online Application
- Writing skills
- Office
- High school diploma or GED
- Travel reimbursement
- Health insurance
Quick Apply
2d
Business Analyst III
Health & Human Services Comm —Austin, TX
- $5,797.66 - $7,652.91 a month
- Online Application
- Research
- Office
- Bachelor's degree
- Health insurance
- Opportunities for advancement
Quick Apply
6d
CPI Router Admin Asst II
Dept of Family & Protectve Svc —Houston, TX
- $2,694.33 - $3,320.33 a month
- Online Application
- Background check
- Computer literacy
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
Manager I - Rapids
Dept of State Health Services —Austin, TX
- $6,161.23 - $6,852.25 a month
- Online Application
- Microsoft Excel
- Microsoft Outlook
- Writing skills
Quick Apply
13d
CPI INV Program Director Clerk III
Dept of Family & Protectve Svc —Houston, TX
- $2,694.33 - $3,946.25 a month
- Online Application
- Background check
- Office
- Administrative experience
- Paid holidays
- Dental insurance
Quick Apply
8d
Epidemiologist III
Dept of State Health Services —Austin, TX
- $5,098.66 - $6,701.75 a month
- Online Application
- System design
- Office
- Master's degree
Quick Apply
7d
Operations and Outreach-PHPS I
Dept of State Health Services —San Antonio, TX
- $3,095.33 - $4,594.50 a month
- Weekends as needed
- Bilingual
- Clean driving record
- Current TB test
- COVID-19 protective measures
Quick Apply
5d
Accountant IV - AR
Health & Human Services Comm —Austin, TX
- $5,200 - $5,500 a month
- Online Application
- Spanish
- Microsoft Outlook
- 5 years
- Health insurance
- Opportunities for advancement
Quick Apply
4h
Administrative Assistant IV
Dept of State Health Services —Austin, TX
- $3,248.00 - $4,042.58 a month
- Online Application
- Microsoft Outlook
- Writing skills
- English
Quick Apply
1d
MCS Operations Program Advisor (PS VII)
Health & Human Services Comm —Austin, TX
- $5,797.66 - $8,187.00 a month
- Online Application
- Writing skills
- Office
- Master's degree
- Health insurance
- Opportunities for advancement
Quick Apply
2h
Creative Arts Therapist (Music)
US Veterans Health Administration —Amarillo, TX
- $50,460 - $97,087 a year
- Online Application
- Hybrid work
- Background check
- Pass drug screening
- English
- Paid parental leave
- Paid holidays
Optical Retail Sales Associate PT Midlothian, TX #323
Eyemart Express —Midlothian, TX
- Part-time
- Entry level
Quick Apply
13d

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Reimbursement Analyst I

Health & Human Services Comm -
Austin, TX

Quick Apply

Job Details

Full-time
$4,523.26 - $7,253.83 a month
2 days ago

Benefits

Health insurance
Pension plan
Opportunities for advancement

Qualifications

Policy analysis
Bachelor's degree

Full Job 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 Analyst I
Job Title: Reimbursement Analyst I
Agency: Health & Human Services Comm
Department: HHSC & HHS Rate Analysis M/C
Posting Number: 14296
Closing Date: 01/25/2027
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $4,523.26 - $7,253.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-21
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: AUSTIN
Job Location Address: 4601 W GUADALUPE ST
Other Locations: Austin
MOS Codes: No military equivalent

Brief Job Description:

This position is hybrid with (currently) two in-office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire.

The Reimbursement Analyst I (RAI) reports to the Manager of Acute Care Services Payment Comparison and serves as an entry-level analyst on the Acute Care Services Payment Comparison team. This team is responsible for supporting the design, development, and compliance of federal payment rate requirements and reporting.

The RAI assists with maintaining applications, spreadsheets, and databases used in payment rate determinations and reporting activities. The position supports data collection, validation, analysis, documentation, and reporting efforts to ensure compliance with state and federal requirements. The RAI prepares written materials, participates in meetings, responds to routine inquiries, and assists with special projects related to reimbursement and payment policy activities.

The RAI works collaboratively with team members to support operational activities, maintain documentation, and contribute to program improvement initiatives. Work is performed under moderate supervision with opportunities to exercise initiative and develop independent judgment.

Essential Job Functions (EJFs):

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

Drafting, Review, and Reporting (35%)

Assists with the preparation, review, and maintenance of reports, analyses, and other deliverables. Supports the analysis of payment rates, claims data, and financial information. Reviews state and federal regulations to understand program requirements and assists in documenting findings. Drafts routine correspondence, reports, and supporting documentation for review by senior staff. Assists in ensuring assigned deliverables are completed accurately and on schedule.

Coordination and Communication (20%)

Communicates with Provider Finance staff, providers, HHS Enterprise staff, contractors, and other stakeholders regarding payment rate and reporting activities. Responds to routine inquiries and requests for information. Participates in workgroups and meetings and provides analytical support as needed. Collaborates with team members to resolve issues and improve processes.

Workflow Management (20%)

Maintains assigned workloads and project activities to support timely completion of reports, notices, submissions, and other required deliverables. Tracks assignments and deadlines, identifies potential issues, and communicates concerns to management. Assists with gathering information for legislative requests, fiscal analyses, and other program activities as assigned.

Processes and Procedures (20%)

Assists with developing, documenting, and maintaining process and procedure documentation. Follows established procedures to promote consistency, quality, knowledge retention, and operational efficiency. Identifies opportunities for process improvements and communicates recommendations to management.

Other Duties (5%)

Performs other work as assigned or required to support the office and HHSC operations.

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

Advanced Microsoft Office (Excel, Word, etc.), business objects, TMHP Software, claims processing engines, and Salesforce.
Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid.
Business administrative processes.
Database and spreadsheet applications.
Data quality and integrity processes.
Process improvement or quality assurance systems

Skill in:

Managing multiple assignments and priorities.
Organizing and analyzing data.
Problem solving and attention to detail.
Working collaboratively and cooperatively with diverse groups.
Written and verbal communication.

Ability to:

Learn reimbursement methodologies and payment systems.
Interpret and apply policies, procedures, and regulations.
Organize and present information effectively, both orally and in writing to technical and non-technical audiences.
Establish and maintain effective working relationships.
Meet deadlines and adapt to changing priorities.
Prepare reports and summarize findings.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Graduation from an accredited four-year college or university with a bachelor’s degree in social science; business, including accounting and statistics; mathematics; physics; economics; health-related field; political science; or other closely related field.

Experience with data analysis, healthcare programs, Medicaid, reimbursement, financial reporting, or related analytical work is preferred.

Additional Information:

N/A

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.

Quick Apply

Refine Your Search

insurance claims processing occupations jobs in texas

Reimbursement Analyst I

PRAA Operations-Claims Subject Matter Expert

Research Specialist V

Customer Service Representative (Fort Worth)

Customer Services Representative (San Antonio)

Healthcare Financial Data Analyst

Customer Service Rep IV

Customer Services Representative (El Paso)

Accountant IV

Business Analyst III

CPI Router Admin Asst II

Manager I - Rapids

CPI INV Program Director Clerk III

Epidemiologist III

Operations and Outreach-PHPS I

Accountant IV - AR

Administrative Assistant IV

MCS Operations Program Advisor (PS VII)

Creative Arts Therapist (Music)

Optical Retail Sales Associate PT Midlothian, TX #323

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