Administrative Asst IV - Reimbursement

Texas Health and Human Services; Carlsbad (TX); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

100% employee health insurance for FT

Defined benefit pension plan

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission (HHSC) seeks an Administrative Assistant IV in the Reimbursement Department, located at the San Angelo State Supported Living Center. The role supports Medicaid/SSI eligibility, billing, and accounts receivable functions.

Responsibilities include processing complex financial documents, maintaining client records in TIERS and related systems, and preparing performance reports. The position requires strong attention to regulatory compliance and teamwork.

Qualifications

• Graduation from an accredited high school or possession of a GED.

Responsibilities

• Reviews, evaluations, and processes complex financial documentation and applications to determine eligibility for Medicaid and SSI benefits.
• Utilizes automated data systems, including TIERS, the State Portal, Claims 2, and the Trust Fund System, to perform high-volume data entry, track claims, and maintain client records.
• Executes health-related accounting, billing, and collection procedures in compliance with federal and state laws, regulations, and agency rules.
• Monitors, verifies, and reconciles agency service reimbursements, identifying discrepancies and ensuring compliance with regulatory frameworks.
• Prepares detailed financial and administrative reports using Word and Excel; collaborates with internal teams and external stakeholders to meet deadlines.

Skills

Healthcare Financial Systems

Regulatory Compliance

Medicaid & SSI Eligibility

Data Entry & TIERS

Team Collaboration

Education

High School Diploma or GED

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: Administrative Asst IV - Reimbursement

Job Title: Administrative Asst IV

Agency: Health & Human Services Comm

Department: Reimbursement

Posting Number: 21939

Closing Date: 10/13/2026

Posting Audience: Internal and External

Occupational Category: Office and Administrative Support

Salary Range: $3,410.00 - $4,837.08

Pay Frequency: Monthly

Salary Group: TEXAS-A-15

Shift: Day

Additional Shift: Days (First)

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: San Angelo State Supported Living Center

Job Location City: CARLSBAD

Job Location Address: 11640 US HWY 87 N

MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN

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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 support 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!

Administrative Assistant IV will work in the Reimbursement Department. The Administrative Assistant IV position at San Angelo State Supported Living Center performs professional, technical, and administrative duties assisting in the operations of a facility-based reimbursement office. Performs new & ongoing redetermination for Medicaid and SSI benefits and monitors assessment of proper charges, maintenance of accounts receivable, and collection of charges for services provided by the facility. Works under the supervision of the Reimbursement Manager.

Essential Job Functions (EJFs)

• Eligibility & Application Processing: Reviews, evaluations, and processes complex financial documentation and applications to determine eligibility for Medicaid and Supplemental Security Income (SSI) benefits.
• Systems & Data Management: Utilizes automated data systems, including TIERS, the State Portal, Claims 2, and the Trust Fund System, to perform high-volume, accurate data entry, track claims, and maintain client records.
• Financial & Accounting Administration: Executes health-related accounting, billing, and collection procedures in strict compliance with federal and state laws, government regulations, and agency rules.
• Reimbursement Monitoring: Monitors, verifies, and reconciles agency service reimbursements, identifying discrepancies and ensuring compliance with regulatory frameworks.
• Reporting & Collaboration: Prepares detailed financial and administrative reports using Microsoft Word and Excel; collaborates seamlessly with internal team members and external stakeholders to meet rigid agency deadlines.

Performs activities to obtain financial information of individuals served: arranges and conducts interviews, composes correspondence, reviews relevant records, contacts knowledgeable sources. Determines proper rates to be charged. Performs determination and assessment of proper charges, maintenance of accounts receivable, and collection of charges for services provided by the facility. Works with Individuals, guardians, and payor of such rates; reviews and adjusts charges as needed. Performs activities to establish and maintain accounts receivable and enter transactions in the automated data system. Performs various functions necessary to secure and maintain Medicaid eligibility for clients and collect Medicaid under the ICF/MR program: submits applications needed to establish Medicaid and SSI benefits and Forms 90-I; determines billing rates; maintains automated accounts; monitors and reports individuals' income, resource, and level-of-care information; reviews system reports and takes necessary action; maintains liaison with local representatives of Social Security and other agencies and provides assistance to families in the areas of forms completion, decision making, Performs various functions necessary for the collection of Medicare Part B: secures documents containing medical service data; submits enrollment forms and claims; maintains automated system accounts; monitors and reports claims and collection data; maintains liaison with facility staff. Performs various functions necessary to obtain and maintain client eligibility for Social Security and Supplemental Security Income benefits: research records; contacts knowledgeable sources; submits applications, reviews form, and other required documents; exchanges information with Social Security representatives. Other related duties may be assigned.

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

Knowledge, Skills And Abilities (KSAs)

• Healthcare Financial Systems: Demonstrated knowledge of health-related accounting frameworks, automated billing systems, and revenue collection procedures.
• Regulatory Compliance Frameworks: Proven understanding of federal and state laws, government regulations, and agency-specific rules governing service reimbursements.
• Benefit Program Eligibility: Comprehensive knowledge of statutory criteria, policies, and documentation required to establish client eligibility for Medicaid and Supplemental Security Income (SSI) benefits.
• Information Retention & Application: Ability to rapidly absorb complex administrative processes, retain specialized healthcare reimbursement guidelines, and accurately apply database workflows with minimal oversight.
• Operational Adaptability: Ability to quickly comprehend evolving coding regulations, interpret dense departmental protocols, and maintain high data integrity.
• Collaboration & Deadline Management: Ability to work cohesively within a team environment while delivering high-quality, time-sensitive results under regulated deadlines.

Registrations, Licensure Requirements Or Certifications

None

Initial Screening Criteria

Minimum Qualifications (Required)

• Education: Graduation from an accredited high school or possession of a GED.
• General Experience: Minimum of two (2) years of full-time work experience performing administrative support functions.

Preferred Assets (Highly Desirable)

• Claims 2 System: Three (3) years of specialized experience utilizing Claims 2 system programs.
• Trust Fund System: Three (3) years of hands-on experience working within the Trust Fund System.
• State Eligibility Systems: Three (3) years of experience navigating and processing applications through TIERS and the State Portal.

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.

Nearest Major Market: San Angelo

Nearest Secondary Market: Abilene