Reimbursement Analyst I at TX-HHSC-DSHS-DFPS | TX, United States | Rezi

Reimbursement Analyst I at TX-HHSC-DSHS-DFPS

Reimbursement Analyst I

TX-HHSC-DSHS-DFPS · TX, United States

2 days ago

Reimbursement Analyst I

TX-HHSC-DSHS-DFPS · TX, United States

3 days ago
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About the Role

This entry-level position supports the design, development, and compliance of federal payment rate requirements and reporting for Acute Care Services. The role involves assisting with maintaining applications, spreadsheets, and databases for payment rate determinations and reporting activities, ensuring compliance with state and federal requirements.

Responsibilities

  • Assists with the preparation, review, and maintenance of reports, analyses, and other deliverables.
  • Supports the analysis of payment rates, claims data, and financial information.
  • Reviews state and federal regulations to understand program requirements and assists in documenting findings.
  • Drafts routine correspondence, reports, and supporting documentation for review by senior staff.
  • Assists in ensuring assigned deliverables are completed accurately and on schedule.
  • Communicates with Provider Finance staff, providers, HHS Enterprise staff, contractors, and other stakeholders regarding payment rate and reporting activities.
  • Responds to routine inquiries and requests for information.
  • Participates in workgroups and meetings and provides analytical support as needed.
  • Collaborates with team members to resolve issues and improve processes.
  • Maintains assigned workloads and project activities to support timely completion of reports, notices, submissions, and other required deliverables.
  • Tracks assignments and deadlines, identifies potential issues, and communicates concerns to management.
  • Assists with gathering information for legislative requests, fiscal analyses, and other program activities as assigned.
  • Assists with developing, documenting, and maintaining process and procedure documentation.
  • Follows established procedures to promote consistency, quality, knowledge retention, and operational efficiency.
  • Identifies opportunities for process improvements and communicates recommendations to management.
  • Performs other work as assigned or required to support the office and HHSC operations.

Requirements

  • Graduation from an accredited four-year college or university with a bachelor’s degree in social science; business, including accounting and statistics; mathematics; physics; economics; health-related field; political science; or other closely related field.
  • Experience with data analysis, healthcare programs, Medicaid, reimbursement, financial reporting, or related analytical work is preferred.
  • Applicants from outside Texas must be willing to relocate within 30 days of hire.

Skills

  • Advanced Microsoft Office (Excel, Word, etc.)
  • Business objects
  • TMHP Software
  • Claims processing engines
  • Salesforce
  • Data analysis
  • Statistics
  • Data visualization
  • Medical claims data
  • Methods of funding
  • Program rules
  • Medicare
  • Medicaid
  • Business administrative processes
  • Database and spreadsheet applications
  • Data quality and integrity processes
  • Process improvement or quality assurance systems
  • Managing multiple assignments and priorities
  • Organizing and analyzing data
  • Problem solving and attention to detail
  • Working collaboratively and cooperatively with diverse groups
  • Written and verbal communication
  • Learn reimbursement methodologies and payment systems
  • Interpret and apply policies, procedures, and regulations
  • Organize and present information effectively, both orally and in writing to technical and non-technical audiences
  • Establish and maintain effective working relationships
  • Meet deadlines and adapt to changing priorities
  • Prepare reports and summarize findings

Location

  • AUSTIN

Work Type

  • Hybrid
  • Full time
  • Eligible for Telework

Experience Level

  • Entry-level

Education Level

  • Bachelor's degree

Salary/Compensations

  • $4,523.26 - $7,253.83 Monthly

Benefits

  • 100% paid employee health insurance for full-time eligible employees
  • Defined benefit pension plan
  • Generous time off benefits
  • Numerous opportunities for career advancement

About the Company

  • 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.

Equal Opportunity

  • 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.
  • All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position.