Reimbursement Officer II
About The Position
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Reimbursement Officer II performs routine (moderately complex) billing work and assistance to facilitate central billing & produce Self-Pay/Co-Pay/Co-Insurance and Deductible Billings, as well as posting payments on collections. Assists with determining eligibility and insurance coverage of patients. Reimbursement Officer II will work closely with Central Billing, eBilling, leadership, local business office, Utilization Management, patients and family to gather necessary information. Will perform data entry/revision and updates to computer databases/systems/software. Works under general supervision, with moderate latitude for the use of initiative and independent judgment. Performs other duties as assigned. 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.
Requirements
- Knowledge of health-care billing as it relates to psychiatric services and revenue management
- Skilled in the use of typical office equipment and systems, including but not limited to computer, databases, webpages, telephone, multi-function copier and Microsoft Office Outlook, Word, and Excel
- Ability to communicate effectively both written and orally to internal and external parties
- Minimum of One (1) year of experience working in billing/reimbursement office for a direct care provider.
Nice To Haves
- Experience in billing for inpatient psychiatric services is preferred.
- Experience with local, state, and federal laws and regulations relevant to a public entity is preferred.
Responsibilities
- Attends work on a regular basis and may be asked 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.
- Utilize systems/software and/or state databases daily to confirm insurance coverage and eligibility.
- Independently determines a patient’s billable rate based on a patient’s financial information and the sliding scale promulgated in HHSC rule the government benefit or commercial insurance co-pay, co-insurance or deductible levels.
- Perform data entry/revision and updates to computer databases/systems/software.
- Create resulting bills for services while following procedures for creation of billing and complete standardized billing template.
- Post collections into the patient's record in the health record system.
- Generate self-pay statements for accounts with balances to be delivered to patients.
- Performs other duties as assigned. 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.
Benefits
- Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
