Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage…
Skills: Customer Service, Billing Resolution, Microsoft Excel, Data Analysis, Policy Interpretation
The Texas Department of Family and Protective Services (DFPS) works to build on strengths of families and communities to keep children and vulnerable adults safe, so they thrive. We do this through investigations, servic…
Skills: Business Process Analysis, Requirements Development, Solution Design, Stakeholder Management, Change Management
About GlobalFoundries: GlobalFoundries is a leading full-service semiconductor foundry providing a unique combination of design, development, and fabrication services to some of the world’s most inspired technology compa…
Skills: IC Chip Design, Technical Program Management, Problem Solving, EDA Tools, Business Development
ABOUT GREYSTAR Greystar is a leading, fully integrated global real estate platform offering expertise in property management, investment management, development, and construction services in institutional-quality rental …
Job DetailsJob Location: Austin-51st - Austin, TX 78723Position Type: Full TimeSalary Range: $17.00 - $19.00 HourlySECTION 1: Job Summary (Summary of the basic functions of the position) The Medical Assistant is to provi…
JLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring …
Manager Medical Delivery/Supply - Home Health - Austin
Austin, Texas, United States · On-site
Mid level
Location: Home Health - Austin Department: Equipment & Supplies-Austin Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: SCHEDULE: Monday-Friday, 8:30a-5:30p; there may be some on call requ…
Meds.com is a rapidly growing consumer technology firm operating a suite of healthcare businesses, including our flagship brand BlueChew. Our mission is to better patients' lives through innovative healthcare solutions. …
We Put the World on Vacation Travel + Leisure Co. is the world’s leading vacation ownership and travel membership company, with a dynamic and growing portfolio of resort, travel club, and lifestyle travel brands. Our ded…
Skills: Customer Relations, Leadership, Problem Solving, Staff Training, Budgeting
San Francisco, California, United States · On-site
Mid level$34M raised
If you have a Candidate Login already, but have forgotten your password please use the steps to reset your password. If you have forgotten your email login, please contact [email protected] subject Workday Candi…
At YETI, we believe that time spent outdoors matters more than ever and our gear can make that time extraordinary. When you work here, you’ll have the opportunity to create exceptional, meaningful work and problem solve …
Skills: Calendar Management, Expense Reporting, Travel Coordination, Microsoft Office, Executive Support
Job DetailsJob Location: Austin-51st - Austin, TX 78723Position Type: Full TimeSalary Range: $17.00 - $19.00 HourlySECTION 1: Job Summary (Summary of the basic functions of the position) The Medical Assistant is to provi…
Skills: Medical Terminology, Sterile Technique, Patient Care, Vital Signs Measurement, Phlebotomy
Join Ferrovial: Where Innovation Meets Opportunity Are you ready to elevate your career with a global leader in infrastructure solving complex problems and generating a positive outcome on people’s lives? At Ferrovial, w…
Skills: Renewable Energy Law, Project Finance, M&A Transactions, Contract Negotiation, Due Diligence
About Us Jordan Digital Marketing is a fully-remote digital marketing agency focusing on paid acquisition and organic growth (SEO and content). We work with a variety of different-sized companies across different industr…
Skills: Paid Social, Paid Search, Lead Generation, Google Ads, Meta Ads
About This Position ABOUT AUSTIN WATER For over 100 years, Austin Water has been committed to providing safe, reliable, high-quality, and affordable water services to our customers. Today, we serve over 1,000,000 people …
About Four Seasons: Four Seasons is powered by our people. We are a collective of individuals who crave to become better, to push ourselves to new heights and to treat each other as we wish to be treated in return. Our t…
Skills: Communication Skills, Problem Solving, Guest Experience Management, Interpersonal Skills, Coordination
Join Our Team! Sunbelt Rentals strives to be the customer's first choice in the equipment rental industry. From pumps to scaffolding to general construction tools, we aim to be the only call needed to outfit a job site w…
Skills: Diesel Equipment Repair, Heavy Construction Equipment Repair, Hydraulic Systems Troubleshooting, Electrical Systems Troubleshooting, Preventive Maintenance
Job DetailsJob Location: Austin-Brodie - Austin, TX 78748Position Type: Full TimeSalary Range: $17.00 HourlyJob Category: Health CareSECTION 1: Job Summary (Summary of the basic functions of the position) The front desk …
Skills: Customer Service, Administrative Support, Data Processing, Record-keeping, Telephone Etiquette
Job DetailsJob Location: Austin-51st - Austin, TX 78723Position Type: Full TimeSalary Range: $17.00 - $19.00 HourlySECTION 1: Job Summary (Summary of the basic functions of the position) The Medical Assistant is to provi…
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$4k–$4k/mo
Full-time
Health Insurance, Defined Benefit Pension Plan, Generous Time Off, Career Advancement Opportunities
Posted 9d ago
Apply by Aug 11
~40 hrs/week
Responsibilities
Performs advanced customer service in a call center environment, resolving complex billing and claims issues for Medicaid Long Term Care providers and recipients. Researches data across multiple automated systems and provides training to providers on filing claims.
Requirements
Requires at least two years of experience in a call center or customer service environment. Preferred experience includes familiarity with Provider Claims Services systems and interpreting Medicaid policies.
Full job description
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. 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. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Customer Service Rep IV Job Title: Customer Services Rep IV Agency: Health & Human Services Comm Department: Provider Claims Svcs (75/25) Posting Number: 19369 Closing Date: 08/10/2026 Posting Audience: Internal and External Occupational Category: Office and Administrative Support Salary Range: $3,581.33- $4,476.91 Pay Frequency: Monthly Salary Group: TEXAS-A-17 Shift: Day Additional Shift: Telework: Travel: Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: AUSTIN Job Location Address: 701 W 51ST ST Other Locations: MOS Codes: 0100,0111,0170,4133,15P,3F1X1,3F5X1,420A,42A,56M,68G,741X,PERS,RS,SN,YN,YNS
Job Description:
Customer Services Rep IV The Texas Health and Human Services Commission (HHSC) Medicaid & CHIP Services (MCS) department seeks a highly qualified candidate for a Customer Service Representative in the Provider Claims Services (PCS) unit.
This position reports to the PCS Program Supervisor and performs highly advanced customer service work in a call center environment. Work involves contact with Medicaid Long Term Care (LTC) providers, Medicaid recipients, HHSC case workers and eligibility staff regarding filing claims for services and billing issues.
The position researches and analyzes complex data within multiple systems to resolve any issues and ensures claims continue to be processed accordingly. The position interprets section policies and procedures for filing claims for services provided under Hospice, Nursing Homes, Intermediate Care Facilities, and various waiver programs including Home and Community-based Services, Texas Home Living, Deaf Blind Multiple Disabilities, and Community Living Assistance and Support Services.
Essential Job Functions:
Responds to inquiries regarding claims processing and billing issues for Medicaid LTC providers, recipients, agency case workers and eligibility staff via emails, reports, correspondence, or hotline. Researches and analyzes data within various automated systems to identify issues with claim processing/billing. Documents information in spreadsheets. (45%)
Enters data, supporting records and actions taken to resolve billing or claims processing issues. Uses multiple systems including Client Assignment and Registration System (CARE), IDD Portal, Service Authorization System Online (SASO), Texas Medicaid and Health Care Partnership (TMHP) Long Term Care Portal, and a call tracking system. (35%)
Provides training to Medicaid providers on how to address or resolve issues in filing/processing claims. (10%)
Interprets section policies and procedures for processing claims and service authorizations for LTC providers. Collaborates with PCS coaches to resolve more complex claims/billing issues or provider concerns. (10%)
Registrations, Licensure Requirements or Certifications:
None required.
Knowledge Skills Abilities:
Skill in the use of standard office equipment.
Skill and experience resolving complicated billing issues promptly and efficiently. Experience utilizing Microsoft Office
Excel spreadsheets.
Ability to apply policies and procedures and recommend changes. Ability to review problems and recommend solutions.
Ability to communicate verbally with stake holders.
Initial Screening Criteria:
Two years' experience working in a call center or customer service-oriented environment.
Preferred experience with Provider Claims Services systems.
Preferred experience in researching and interpreting Medicaid policies and procedures.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Related keywords
MedicaidCHIPProvider Claims ServicesLTC ProvidersCAREIDD PortalSASOTMHP Long Term Care PortalCall Tracking SystemBilling IssuesClaims ProcessingHospiceNursing HomesIntermediate Care FacilitiesWaiver ProgramsTexas Health and Human Services Commission
Texas Health and Human Services, also known as the Texas Health and Human Services Commission (HHSC), helps more than 7.5 million Texans every month. The agency supports the needs of mothers, children and families through programs such as Medicaid, CHIP, SNAP, women’s health and behavioral health services.
HHSC provides long-term services and supports for seniors and people with disabilities, and operates state supported living centers for residents with intellectual and developmental disabilities and state psychiatric hospitals. HHSC also regulates health care providers, professions and facilities to protect the health and safety of Texans.
Offices: 4601 W Guadalupe St., Austin, TX 78751, US
MedicaidCHIPSNAPprogram managementcontract managementmanaged carehealthcarefinancial oversightprocurementpolicy development