Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals? Then the State Hospital System (SHS) may be just the place for you! The SHS is comprised of nine psychiatric hospitals located throughout the state, and one youth residential psychiatric center in Waco. The SHS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. The hospitals provide state-of-the-art treatment that is recovery-oriented and science-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan.
Performs moderately complex (journey-level) medical claims processing or reimbursement work. Work involves determining eligibility; obtaining financial information; maintaining accounts; and collecting charges for the support, maintenance, and treatment provided to clients. May train others.
Essential Job Functions:
1. Attends 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.
2. Reviews and analyzes documents to determine the appropriate claim source,
3. Review and analyze client's financial information to determine ability to pay.
4. Interview clients, relatives and/or guardians to receive insurance benefits and financial information.
5. Establish and maintains accounts with an automated data processing system.
6. Refer claims and accounts requiring legal assistance.
7. Compiles, reviews and bills statements for Self-Pay accounts.
8. Reconciles daily and monthly cash receipt postings.
9. Must have strong verbal or written communication skills, work cooperatively with various programs and other departments.
10. Must attend work on a regular and predictable schedule in accordance with agency leave policy.
11. Other duties as assigned, including but not limited to actively participating and/or serving in a supporting role to meet the agency 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 Abilities:
1. Knowledge of verifying insurance benefits and eligibilities.
2. Knowledge of processing and submitting statements for patient's accounts.
3. Knowledge of collecting and posting payments to patient's accounts.
4. Knowledge of working with an electronic patient record and automated billing system.
5. Skills in organizing and prioritizing tasks.
6. Skills in problem solving and decision-making,
7. Skills in maintaining an accurate confidential filing system.
8. Skills in compile and prepare accurate billing reports,
9. Skills in utilizing Microsoft Office including, but not limited to Word, Excel, and Power Point.
10. Skills in strong, positive, and effective communicating skills verbally or in writing.
11. Ability to establish and maintain strong positive effective working relationships with co-workers, the general public, other state agencies, service providers, and supervisors.
12. Ability to work well under pressure with limited time constraints.
Registration or Licensure Requirements:
Initial Selection Criteria:
1. High school diploma is required.
2. Experience documenting patients accounts.
3. Experience working in a psychiatric hospital setting and/or intellectual developmental setting.
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, 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 applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.
According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 36B, LS, SK, 3432, 6F0X1. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.
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.