Case Analyst

Essential Job Functions

• Affords assistance with the enforcement of assessed final debt amounts, and any associated collection activities.
• Engages in conducting research pertaining to case results, investigative findings, and payments to make determinations and recommendations concerning contract cancellations, exclusions, terminations and or impacted program areas.
• Handles all case closing processes to include scanning and uploading relevant documents into the case management system and case library and closing completed cases.
• Prepares monthly and annual reports with supporting tables and documentation for use by internal and external stakeholders.
• Performs other duties as assigned. Keeps manager informed as required or as necessary.

Knowledge, Skills, and Abilities

• Knowledge of state and federal laws related to the public health care programs such as Medicaid and Medicare.
• Knowledge of collection processes.
• Skills in use of personal computer, computer software, including spreadsheet, database, and word processing applications.
• Skills in communicating effectively in writing and orally.
• Ability to research facts and law from a variety of databases.
• Ability to review legal and medical files and distill salient information.
• Ability to interpret policies, procedures, rules, regulations, and standards.
• Ability to establish and maintain collegial and collaborative working relationships with co-workers, agency staff, and management to achieve common goals.
• Ability to manage work time efficiently to complete assignments within in a timely manner with limited supervision.

Registrations, Licensure Requirements or Certifications

None.

Initial Screening Criteria

Graduation from a four-year college or university, preferably with major course work in business or health care administration.

Experience in a field related to business operations involving heath care or law may be substituted for the education requirement on a year-for-year basis.

Experience using Microsoft applications – specifically Excel.

Preferred:

• Knowledge of Texas state government structure and functioning.

ADA Accommodations

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. If you need assistance completing the on-line application, contact the HHS 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.

Pre-Employment Checks and Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.