Program Specialist IV - Revenue Management

Date:
Sep 11, 2026

Location:

AUSTIN, TX

Join the Texas Health & 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:
  
  Program Specialist IV
  - Revenue Management
• Job Title:
  
  Program Specialist IV
• Agency:
  Health & Human Services Comm
• Department:
  Revenue Management
• Posting Number: 21428
• Closing Date: 03/12/2027
• Posting Audience:
  Internal and External
• Occupational Category:
  Business and Financial Operations
• Salary Range: $4,263.16 - $5,521.16
• Pay Frequency:
  Monthly
• Salary Group: TEXAS-B-20
• Shift: Day
• Additional Shift:
• Telework:
• Travel:
  Up to 5%
• 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:
  Austin
• MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Provides complex technical assistance and consultative services to facility reimbursement staff located in the 13 ICF/IID (Intermediate Care Facility for Individuals with Intellectual Disabilities) State Supported Living Centers and state-operated community facilities. Assists in planning, analyzing, developing, implementing, monitoring, and problem solving for multiple third party and non-third party reimbursement programs and automated systems. Provides support for use of mainframe and software applications and generates reports and data.

Works closely with the Supervisor of the Revenue Management Unit on planning and development of residential ICFMR reimbursement programs, training Reimbursement Office staff at 13 State Supported Living Centers; ensures all claims for SSLC residents have been processed for the month; resolution of any payment discrepancies, rejected claims, and problems related with processes and policy; develops, maintains, implements, and interprets policies, procedures, and guidelines on administration, billing, and collection of Medicare Parts B and D, Medicaid, other Third-Party, and Non-Third-Party sources at ICFMR SSLCs.

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

• Plans and directs MR Reimbursement program development and implementation in State Office and out-stationed Reimbursement offices located in 13 State Supported Living Centers (SSLCs). (15%)
• Reviews/researches State and Federal laws, rules, and regulations for impact on reimbursement; plans, develops, implements, coordinates, maintains, and interprets, policies, procedures, and standards for ICF/IID Reimbursement program; and develops and maintains procedures and reports related to the use of the Claims2 Automated Patient Billing System. (10%)
• Identifies operational problems and provides assistance to Reimbursement Office staff in resolution of problems; interacts with management, staff, or customers to answer inquiries, discuss problems, develop resolutions, and report to management on status and issues; and coordinates with Internal Audit, Center for Policy and Innovation, , and other agency management/staff on issues that impact SSLC revenue. (25%)
• Provides instruction and guidance on reimbursement to managers and staff and provides training to all Reimbursement Officers on all facets of billing and…