Program Specialist II
Listed on 2026-09-21
-
Healthcare
Healthcare Administration, Medical Billing and Coding
Additional Shifts available (1) - $3000 - $4999 per month
Functional
Title:
Program Specialist II
Job Title:Program Specialist II
Agency:Health & Human Services Comm
Department:Hospitals Section
Posting Number:21138
Closing Date:10/18/2026
Posting Audience:Internal and External
Occupational Category:Business and Financial Operations
Salary Range:$3,793.41-$5,921.25
Pay Frequency:Monthly
Salary Group:TEXAS-B-18
Shift:Day
Additional Shift:Days (First)
Telework:
Travel:Up to 10%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility
Location:
Job Location City:AUSTIN
Job Location Address:909 W 45TH ST #634 BLDG 4
Other Locations:None
MOS Codes:16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS
Program Specialist II provides complex technical assistance and consultative services to facility reimbursement staff located in the state hospitals. Provides oversight of Medicaid, Medicare, third party insurances and other claims activity performed by reimbursement staff. Assists in planning, analyzing, developing, implementing, monitoring, and problem solving for reimbursement programs. Position completes third party credentialing applications, assist with desk audits and resolving issues with reimbursement staff.
Knowledge,Skills, and Abilities Required
- Knowledge with various third-party programs such as Medicare, Medicaid, and private health insurance.
- Knowledge with health-related accounting and collection procedures.
- Knowledge with medical claims submission and reconciliation.
- Skills in advanced skills in using computer software, including but not limited to Outlook, Word, and Excel.
- Proficient in effectively managing, reconciling and/or reporting accounts receivables.
- Proficient in developing and/or implementing complex reporting specifications.
- Ability to communicate effectively verbally and in writing.
- Ability to learn how to interpret, and apply state and federal rules, regulations, policies and procedures.
- Ability to learn Electronic Health Records systems such as Avatar.
- Ability to establish and maintain effective working relationships with others.
- Provides oversight, assistance and support for maximizing revenues in the reimbursement programs; and identifies and assists with resolving billing and payment problems. Collaborates with state hospital staff to resolve issues with Medicaid, Medicare or third party payors claims and initiates corrective action with appropriate agency on problems as needed. Advises Reimbursement staff on necessary action to obtain eligibility, claims processing and prevent loss of revenue.
- Maintains liaison with Medicare and Medicaid fiscal intermediaries, carriers, and other governmental and private entities to ensure successful and appropriate claims processing. Assists with Medicare and Medicaid Provider enrollment.
- Assists the development of policy, procedures manual, and special forms.
“N/A”
Initial Screening Criteria- High school diploma/GED (Required)
- Experience with third-party payors, Medicaid, and Medicare claims processing. (Preferred)
- Experience with Third-party credentialing processes and contracts. (Required)
- Experience Liaising with third-party payors to maintain the contracts/credentialing. (Preferred)
- Experience with internal desk audits of claim payments and denials. (Preferred)
- Experience with the Texas Administrative Codes rules and regulations. (Preferred)
Telework three days a week.
Position available Monday – Friday 8:00am to 5:00pm
Active Duty, Military, Reservists, Guardsmen, and VeteransMilitary occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may…
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).