Reimbursement, Billing and Data Specialist

Texoma Community Center; Sherman (TX); On-site; USD 42,000 - 52,000; Full time

Benefits offered by this job

Medical, Dental, Vision insurance

Employer paid Life Insurance

Short-Term Disability

Flexible Spending Account

Paid Holidays

PTO

Retirement Plan

Payroll Direct Deposit

Wellness Credit

Student Loan Forgiveness Support

Job summary

Texoma Community Center in Sherman, TX, is seeking a Reimbursement, Billing and Data Specialist to handle claims processing, eligibility checks, and client billing in a trauma-informed care setting.

Responsibilities include generating statements, submitting encounter data, and maintaining accurate financial records while ensuring compliance with state regulations and organizational policies. A driver’s license and vehicle are required, with an emphasis on detail and empathy in service delivery.

Qualifications

• High school diploma or GED required.
• Experience in claims processing and health-related accounts.
• Experience with mental health/addiction populations desirable.
• Current driver’s license and vehicle for use at work.
• Bilingual abilities preferred.

Responsibilities

• Perform reimbursement or claims processing tasks including eligibility determination, obtaining financial information, maintaining accounts, and collecting charges for services.
• Process and create individual statements and submit encounter data per Texoma Community Center guidelines.
• Operate under trauma-informed and recovery-oriented models of care aligned with CCBHC standards.
• Communicate effectively with clients, staff, and external partners to ensure accurate billing and timely payments.

Skills

Second language

Self-motivated

Organized

Detail oriented

Office Suite

Trauma-informed care

Cultural awareness

Education

High School Diploma or GED

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Reimbursement, Billing and Data Specialist

Full Time Sherman, TX, US

3 days ago Requisition ID: 1410

PURPOSE

Strengthening Resiliency and Supporting Recovery

VISION

Promote and enhance access to intellectual, developmental, and behavioral health services that improve the lives of those in our community.

VALUE

We pledge to deliver quality services through partnerships with individuals, families, and community stakeholders. Texoma Community Center strives to develop and equip all staff with Trauma-Informed Care knowledge and competency-based skills. Trauma-Informed Care means treating the person as a whole, taking into account past trauma and the resulting coping mechanisms when attempting to understand behaviors.

Our goal is to provide effective treatment as well as improving the quality and impact of care.

Join a team of dedicated service providers who seek to promote the accessibility of services that improve quality of life and support self-determination for persons with mental and developmental disorders. Texoma Community Center (TCC) is one of 39 Texas Community Centers, which are governmental entities as defined by Title 7 of the Texas Health and Safety Code.

Position Summary:

Performs reimbursement or claims processing work. Work involves determining eligibility; obtaining financial information; maintaining accounts; and collecting charges for the support, maintenance, and treatment provided to clients Processes and creates individual statements and submits encounter data in accordance with the philosophy, goals, and objectives of Texoma Community Center. Operates under trauma-informed and recovery-oriented models of care which align with CCBHC standards.

Qualifications:

Education and/or Experience:

• High School Diploma or GED equivalent required
• Experience in claims processing and health-related account and collection work.
• Experience working with individuals with mental illness and/or addiction issues desirable

Certificates, Licensure, Registrations:

• Current driver’s license and vehicle for use at work

Knowledge, Skills and Abilities:

• Ability to speak a second language relevant to population served preferred
• Must be self-motivated, organized and detail oriented
• Exceptional knowledge of Office Suite required
• Consistently practices Trauma-informed Model of Care, understands and considers the pervasive nature of trauma.
• The knowledge of cultural differences and ability to work with individuals from different cultural backgrounds

General Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the general knowledge, skill, and/or ability required:

• Ability to add, subtract, multiply, and divide
• Ability to handle money/make change
• Ability to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, operational and maintenance and organizational policy / procedures
• Ability to effectively communicate
• Ability to work cooperatively and communicate effectively to maintain good working relationships
• Ability to work with skill in identifyingproblems

Security/Access:

• Will have access to confidential information abiding by the organization’s privacy policies and regulations concerning this information

Equipment, Tools, Materials:

• Standard office equipment
• First Aid/Spill Kits

The benefits offered to TCC employees are competitive, comprehensive, and demonstrate the company’s commitment to the well-being of its employees.

Benefits include:

• Medical, Dental, and Vision insurance offered
• Employer paid Life Insurance & Short-Term Disability
• Additional Opt-in benefits
• Wellness Credit
• Designated Paid Holidays
• Paid Time Off (PTO)
• Extended Illness Leave
• Retirement Plan
• Payroll Direct Deposit
• Flexible Spending Account (FSA)
• Designated Paid Holidays
• Supports Federal Student Loan Forgiveness Program