Customer Service Rep IV

Job Details

Date:
Sep 11, 2026

Location:

AUSTIN, TX

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. Explore more details on the Benefits of Working at HHS webpage.

• 100% paid employee health insurance for full-time eligible employees
• a defined benefit pension plan
• generous time off benefits
• numerous opportunities for career advancement

• 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: 21341
• Closing Date: 09/25/2026
• 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: ,P,3F1X1,3F5X1,420A,42A,56M,68G,741X,PERS,RS,SN,YN,YNS

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.

• 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%)

None required.

• 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.