Administrative Asst II

Texas Health & Human Services Commission Pollok , TX 75969

Posted 6 days ago

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 Centers

The 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!

Work is performed under minimal general supervision with latitude for the exercise of use of initiative and independent judgment. Position assumes responsibility without direct supervision and makes decisions within the scope of assigned authority.

This position is fast paced, multitasked, deadline oriented, and reports to the Reimbursement Officer III. Performs responsible and complex administrative duties, such as, assembling, organizing, and tabulating statistics and data generating reports for the Reimbursement office. Work requires familiarity with the laws and regulations controlling the employing agency, its functions, policies and procedures, and the making of decisions in the application of such laws and regulations.

Prepares routine and special correspondence, reports, studies, forms and documents. Coordinates meetings by scheduling, preparing agenda, taking minutes, and distribution of information. Develops special administrative analyses and summaries of quality improvement activities and performs preliminary research, development and preparation of materials. Essential Job Functions:

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Performs various activities necessary to collect Medicaid under the ICF-MR program; calculates billing rates; monitors and reports changes in individuals' income, and resources; adjusts budgets; resolves problems related to Medicaid eligibility of individuals.

Performs various activities necessary to collect Medicare Part B reimbursement for physician services; prepares, distributes, and tracks service documentation sheets; gathers medical service data; submits physician applications for enrollment; maintains price listing and coding information; compiles and submits claims; posts payments to accounts in automated mainframe system; maintains reports of claims and collection data; researches denials and discrepancies; submits medical records as requested to the carrier.

Establishes and maintains accounts receivables and enters financial transactions into the automated data system.

Performs various activities necessary to collect reimbursement from other 3rd party payers and individuals; contacts appropriate agencies to confirm eligibility for Medicare, Medicaid, Champus, insurance, Veterans Administration, etc; completes and submits applications, forms, and paper claims for reimbursement, including medical records as required; coordinates claim submission when multiple third-party sources exist; sends form letters regarding payments and delinquent accounts and posts payments to mainframe accounts receivable system. Researches denials and takes appropriate action.

Answers inquiries on individual accounts as requested by payers.

Refers accounts requiring further collection work or additional information promptly to the Reimbursement Officer III. Identifies, completes, or arranges application process for benefits from Social Security Income programs on behalf of individuals.

Performs office functions, including maintenance of files, distribution of daily mail, answering telephones, greeting visitors, word processing, and photocopying documents.

Reconciles with cashier, trust fund clerk, and accounting, monthly cash receipts for both third party and non-third-party collections for proper crediting of individual accounts.

As needed, provides to facility staff information pertaining to individuals' financial status, third party coverage of medical services obtained off campus, and benefits under Social Security, Supplemental Security Income, Veterans Administration, etc. Completes intake of financial information at time of clients' admission and during follow up reviews to assess for possible sources of reimbursement; conducts interviews; reviews records such as social histories, staff summaries, etc.; contact knowledgeable sources for needed information; documents information on standard forms; analyzes information for ability to pay.

Assists Reimbursement Officer III with obtaining and compiling information and completing forms to refer accounts to Reimbursement attorney for investigation or collections.

Other duties as assigned including but not limited to, actively participating and/or serving in a supporting role to meet 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 Abilities:

Knowledge of office practices and administrative procedures.

Skill in use of personal computers and software applications in a windows environment (Word, Excel, PowerPoint, Access, Outlook)

Ability to maintain filing systems

Ability to handle and safeguard sensitive and confidential information.

Ability to work independently and to exercise judgment in making administrative and technical decisions.

Ability to develop/implement administrative procedures and to evaluate their effectiveness; and to interpret complex rules, regulations, policies and procedures.

Ability to understand and follow verbal and written instructions.

Ability to communicate both in writing and verbally.

Ability to establish and maintain effective working relationships with supervisor and coworkers.

Registration or Licensure Requirements:

None Initial Selection Criteria:

Graduation from a standard senior high school or equivalent

Two (2) years of experience in administrative support work

Experience using Microsoft Outlook, Word, Excel, and/or PowerPoint.

Experience with scheduling, such as creating staff schedules or scheduling meetings.

Additional Information:

Req ID 617547

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.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

All State Supported Living Center employees are subject to Random drug testing.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

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. MOS Code:

Note: There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position.

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.

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