Reimbursement Officer I
Reimbursement Officer I - 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 CentersThe state of Texas offers many benefits to employees.
HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments.
We also offer excellent health benefits, a lifetime monthly retirement annuityas well as 401(k) and 457 Programs under the Employees Retirement System of Texas.
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 FunctionsAttends 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 facilityphysicians to ensure the codes used are the most accurate for rendered servicesPrepares 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 theinformation 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 AbilitiesKnowledge of the principles of collection and accounting, and of the rules and regulations governingreimbursement 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 informationSkill in use of Electronic Health Records (IRIS), general office equipment, and in the operation of computers and applicable computer software.
Ability to communicate effectivelyRegistration or Licensure RequirementsNone Initial Selection CriteriaGraduation 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 and/or Government insurance agencies is preferred.
Additional InformationApplicants 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 OIG List of Excluded Individuals/ Entities.
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.
MOS CodeAll active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position.
There are no Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position.
For additional information see the Texas State Auditor's Military Crosswalk at http:
//www.
hr.
sao.
state.
tx.
us/Compensation/JobDescriptions.
aspx />Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS HHS agencies use E-Verify.
You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS 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.
Recommended Skills Audio Equipments Auditing Billing Claim Processing Communication Developmental Disabilities Estimated Salary: $20 to $28 per hour based on qualifications.
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 CentersThe state of Texas offers many benefits to employees.
HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments.
We also offer excellent health benefits, a lifetime monthly retirement annuityas well as 401(k) and 457 Programs under the Employees Retirement System of Texas.
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 FunctionsAttends 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 facilityphysicians to ensure the codes used are the most accurate for rendered servicesPrepares 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 theinformation 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 AbilitiesKnowledge of the principles of collection and accounting, and of the rules and regulations governingreimbursement 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 informationSkill in use of Electronic Health Records (IRIS), general office equipment, and in the operation of computers and applicable computer software.
Ability to communicate effectivelyRegistration or Licensure RequirementsNone Initial Selection CriteriaGraduation 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 and/or Government insurance agencies is preferred.
Additional InformationApplicants 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 OIG List of Excluded Individuals/ Entities.
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.
MOS CodeAll active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position.
There are no Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position.
For additional information see the Texas State Auditor's Military Crosswalk at http:
//www.
hr.
sao.
state.
tx.
us/Compensation/JobDescriptions.
aspx />Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS HHS agencies use E-Verify.
You must bring your I-9 documentation with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS 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.
Recommended Skills Audio Equipments Auditing Billing Claim Processing Communication Developmental Disabilities Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
