Reimbursement Officer V

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, services, and referrals.

What You Get Beyond Your Paycheck

When you join the State of Texas, your monthly paycheck is just one part of your real income. Our benefits provide extra value that many private employers simply don't match-often adding hundreds of dollars each month to what you take home or save.

Here's what you get as a full-time employee:

• 100% paid health insurance for you, and 50% paid for eligible family members-saving you hundreds every month in out-of-pocket medical costs
• Retirement plans with lifetime monthly payments after five years of state service, plus options to save even more with 401(k) and 457 plans
• Paid vacation, holidays, and sick leave so you can recharge and take care of life outside work (that's time off you're actually paid for)
• Optional dental, vision, and life insurance-at rates much lower than most private plans
• Flexible spending accounts for added tax savings on health and dependent care
• Employee discounts on things like gym memberships, electronics, and entertainment

You also might qualify for Public Service Loan Forgiveness, which could help you pay off federal student loans faster.

You can see all the details here: ERS recruitment brochure

Functional Title: Reimbursement Officer V

Job Title: Reimbursement Officer V

Agency: Dept of Family & Protectve Svc

Department: CBC Operations Division

Posting Number: 23203

Closing Date: 12/10/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $4,263.16 - $6,779.25

Pay Frequency: Monthly

Salary Group: TEXAS-B-20

Shift: Day

Additional Shift:

Telework:

Travel: Up to 20%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location:

Job Location City: AUSTIN

Job Location Address: 4900 N LAMAR BLVD

Other Locations:

MOS Codes: No military equivalent

Brief Description

Performs highly advanced and/or supervisory (senior-level) reimbursement or claims processing work for the Community-Based Care program. Work involves coordinating and monitoring billing and collection activities. Assisting with the preparation of monthly and annual financial reports; establishing, overseeing, and maintaining internal financial controls; reconciling accounting transactions; and fiscal data. May supervise the work of others. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

Essential Job Functions

Oversees, coordinates, and/or monitors billing and collection activities.

• Oversees, coordinates, tracks, and monitors payment, invoicing, and collection activities for the Community-Based Care (CBC)

program.

• Creates multiple monthly manual payments to the Single Source Continuum Contractors (SSCC) for the CBC program.
• Monitors to ensure the correct funding streams are used for each payment.
• Develops billing tracking spreadsheets and oversees payments to the SSCCs.
• Communicates with the SSCCs on the timing of payment and invoice/voucher number.

Oversees and/or resolves billing problems and financial determinations.

• Research financial system to determine rejected billing issues.
• Analyzes financial information for ability-to-pay determinations.
• Works to resolve the issue and ensure prompt and proper payment to the SSCCs.
• Oversees and tracks error trends in billing.

Oversees and/or coordinates staff engaged in financial interviewing, financial investigations, asset research, and fee determinations. Process protests and appeals.

• Communicates, and interfaces with internal and external parties to provide technical guidance and resolve problems concerning payments, policy, guidelines, and rule requirements.
• Communicates with internal IT team to understand and resolve automated billing issues.
• Communicates with the SSCCs IT and finance department to resolve billing issues in the automated process.
• Provides technical guidance and training to both internal and external staff to coordinate mutual proper processes are followed to avoid billing rejections.
• Provides technical assistance and guidance on prompt payment rules, funding stream guidelines, and invoicing policies.

Conducts reviews to monitor compliance with state and federal laws, rules, and regulations pertaining to reimbursements that are highly complex in nature or large in scale.

• Perform financial reconciliation of accounting transactions between the Uniform Statewide Accounting System (USAS), CAPPS, and internal and external accounting systems.
• Performs monthly and annual financial reconciliation and true ups of payments made to the SSCCs when required.
• Performs annual transactional tracking of payments and data through USAS, DFPS CAPPS, IMPACT and multiple SSCCs accounting systems.
• Establishes and maintains accounts in databases or applicable computer systems.

Conducts investigations to determine amounts to be charged for care and treatment based on findings.

• Conducts reviews to monitor compliance with state and federal laws, rules, and regulations pertaining to reimbursements that are highly complex in nature or large in scale.
• Conducts quarterly monitoring reviews of expenditure data of the SSCCs of multiple grant funding expenditures to ensure each are in accordance and compliance with specific state and or federal rules based on funding streams requirements.

Assesses training needs based on observations and monitoring of reimbursement programs.

• Provides trainings during readiness to new SSCCs.
• Creates and provides specific trainings based on observations and finding of monitoring expenditure data to address specific issues.

Determines proper payment, collection of charges, and issuance of payment on claims.

• Provides and coordinates the payment of services provided is proper and not a duplicate payment to the SSCC or another service provider.
• Reviews and analyzes documents to identify and determine the appropriate claim source.
• Ensures accurate collection of charges should an overpayment be issued.

Interprets, establishes, and implements policies and procedures. Establish charges and procedures for the collection of accounts.

• Determine the proper corrective action for reconciliation discrepancies, coordinate with the appropriate staff to correct the discrepancies, and follow-up to ensure correction is completed timely and correctly.
• Conducts trend analysis on discrepancies and determines when technical assistance is needed or when a more corrective action approach is needed to reduce discrepancies.
• Coordinates and provides process improvements to internal and external staff to ensure appropriate staff understand how to prevent and correct billing discrepancies.
• Tracks improvements in the reductions of billing discrepancies to ensure corrections are made timely and accurately.

Prepares and disseminates reports and information involving policies, procedures, and activities.

• Develop and coordinate reports for monitoring and reporting DFPS and Single Source Continuum Contractors (SSCC) financial information.
• Runs multiple payment reports from multiple payment systems to support the SSCCs budgeting throughout the year.
• Prepares expenditure reports for transactional monitoring efforts .
• Prepares correspondence, forms, and reports; and maintains records of assigned cases.

Gathers financial data to be used in reports to management.

• Gathers financial data to be used in reports for internal and external DFPS and SSCC management to track expenditures, prepares monthly fiscal reports and ad hoc reports.
• Prepares expenditure reports for DFPS and SSCC leadership.
• Gathers and analyzes financial data to prepare fiscal reports and ad hoc reports as needed.

Coordinates, plans, and conducts training sessions, workshops, and seminars.

• Coordinates and develops training sessions that provide detailed step-by-step instructions for invoicing procedures.
• Conducts workshops at annual conferences on proper and prompt payment processes.

May supervise the work of others.

• Supervises the proper annual budgeting process for service dollars allocated to the SSCC.
• Supervises the contract manager's quarterly budget reallocation process as needed.

Performs related work as assigned.

Knowledge, Skill, and Abilities

Knowledge of state purchasing, payment and financial laws, and regulations, procedures, and practices as set forth by the State Legislature in the General Appropriations Act, the State Comptroller of Public Accounts, the Texas Government Code, and the Texas Administrative Code.

Knowledge of the principles of collection and accounting, and the rules and regulations governing reimbursement for agency services.

Knowledge of CAPPS Financial System

Knowledge of complex automated accounting systems.

Skill in establishing and maintaining effective working relationships.

Skill in interviewing techniques and in the use of general office equipment, computers, and applicable computer software.

Skill in effective verbal and written communication.

Skill in resolving problems; in reviewing and evaluating options in implementing solutions.

Ability to prepare accurate and concise reports.

Ability to communicate effectively.

Ability to provide guidance to others.

Ability to plan, assign, and supervise the work of others.

Ability to maintain the security and integrity of the infrastructure per Governor Abbot Executive Order GA-48.

Registrations, Licensure Requirements or Certifications

N/A

Initial Screening Criteria

Bachelor's degree from a college or university. Relevant professional designations, advanced degrees, and relevant experience may be substituted for one year of experience at the hiring manager's discretion.

Preferred

Experience in claims processing and social services related account and collection work, including supervisory experience.

Experience in financial reporting, reconciliation of bank statements, ledgers and financial data using automated accounting systems.

Experience with accounting principles and procedures; preference for governmental accounting experience.

Experience with Microsoft Office applications including Excel, Outlook, Word, and Access.

Experience with CAPPS FIN, IMPACT and USAS preferred.

Additional Information

N/A

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 Auditors Office - Job Descriptions. You may also contact the DFPS Military Liaison at dfpsmilvets@dfps.texas.gov with additional questions.

Applicants selected for hire must pass a background check and if applicable a driver's record check.

State of Texas employees are required to maintain the security and integrity of critical infrastructure as defined in Section 117.001(2), State of Texas Business and Commerce Code. Applicants selected for hire comply with this code by completing related training and abiding by agency cybersecurity and communications system usage policies.

As a state agency, DFPS is required by Texas Administrative Code (TAC 206 and 213) to ensure all Electronic Information Resources (EIR) follow accessibility standards. The staff must be familiar with the WCAG 2.1 AA and Section 508 to create accessible content including but not limited to; Microsoft Office documents, Adobe PDFs, webpages, software, training guides, video, and audio files.

DFPS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Employees must provide documentation to DFPS to show their identity and authorization to work in the US. Please review the following link for authorized documents: https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents .

In compliance with the Americans with Disabilities Act (ADA), HHS/DFPS 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/DFPS 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.