Medicaid Billing & Reimbursement Admin IV

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

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.