Accountant IV BB Acct

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.

Employee Benefits:

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.

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Functional Title: Accountant IV BB Acct 
Job Title: Accountant IV - BB Acct 
Agency: Dept of State Health Services 
Department: Accounts Receivable 
Posting Number: 13162 
Closing Date: 02/06/2026 
Posting Audience: Internal and External 
Occupational Category: Business and Financial Operations 
Salary Group: TEXAS-B-20 
Salary Range: $5,520.55 - $5,907.00 
Pay Frequency: Monthly
Shift: Day 
Additional Shift:  
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: 1100 W 49TH ST (RBB) 
Other Locations:  
MOS Codes: 3451,310X,651X,751X,3402,3404,3408,8844,36A,70C,90A,36B,89A,65FX,65WX,6F0X1,F&S,FIN10,LS,LSS,PS,SK 
YN 
 
 

Job Description:

Work a regular and predictable schedule. This position performs complex accounting work under the general supervision of the Laboratory Billing Branch Manager with moderate latitude for the use of initiative and independent judgment. Performs medical billing/claiming on behalf of the DSHS Laboratory and DSHS Immunization- Rabies biologicals. Work involves using a medical billing system for coding, posting and processing financial transactions and maintenance of accounts. Answer routine questions during initial inquiries, research and resolve complex accounting questions and respond in a timely manner. Work involves preparing and analyzing financial statements and reports out of Healthpac, the DSHS Laboratory billing system. This position organizes, audits and coordinates the work of others daily. Updates policies and procedures for the branch and provides guidance to other team members. Provides cross-training of duties to others. Use discretion and maintain strict confidentiality of sensitive information. Serves in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations Planning (COOP) activation. Assists branch as necessary. Performs other duties as assigned. 

Essential Job Functions: 

EJF #1. Reviews and audits accounting and financial documents for accuracy. Research and reconcile discrepancies in accounts. Process payments and vouchers, perform daily corrections, adjusting and closing of transactions. Perform End of Day Closing duties making sure billing system (Healthpac) balances daily. Maintain a working knowledge of federal, state, enterprise, agency and unit policies, processes and procedures, as well as related enterprise training, for privacy requirements when handling data falling into any of the following categories: HIPAA-Health Insurance Portability and Accountability Act, PHI-Protected Health Information, PII-Personally Identifiable Information, and SPI-Sensitive Personal Information. Must keep all Billing Branch records, patient information confidential. Participates in the preparation and printing of weekly and month billing statements.

EJF #2. Provides excellent customer service skills to internal staff and external Lab and Rabies Biological customers by returning calls, addressing email and faxes promptly, communicate in a friendly and courteous manner with tact. Research issues pertaining to Lab and Rabies Biological customer accounts and insurance claiming; provide accurate information to all customers in a timely manner. Reconcile all accounts for accuracy and completeness and make corrections as necessary. Oral communication is followed up with documentation on customer contact software (HP ALMS). Written communication contains accurate information without spelling errors and written in complete sentences.

EJF #3. Review and prepare ACH (Automatic Clearing House) and ITV (Internal Transfer Vouchers) payments to be posted by Accountant III's. Review and manually enter RGSC (Rio Grande State Center) when assigned by Accountant V's. Process/Save APEX reports. Instruct data entry research for Accountant III's. Research accounts with discrepancies to resolve complicated issues. Review and make updates to procedures. Must show proficiency in Microsoft Office.

EJF #4. Other duties as assigned include, but not limited to: serve as back-up to other Accountants; assist branch as needed; assist in the development of and participate in special projects; maintain current procedures; actively participate and/or serve in a supporting role to meet the agency’s obligations for disaster response and/or recovery and continuity of operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities

Ability to answer phone calls and routing incoming calls. Ability to communicate effectively with co-workers and clients. Ability to converse effectively and tactfully with co-workers.
Ability to create and maintain a positive and efficient work environment. Ability to express opinions clearly and logically.
Ability to follow verbal and written instructions.
Ability to handle multiple projects and changing deadlines Ability to maintain confidentiality.
Ability to prepare effective correspondence and reports in an accurate and timely manner. Ability to prepare, maintain and archive detailed records, files, and reports
Ability to process third-party insurance claims. Ability to sit for long periods of time.
Ability to work in harmony with others and deal with stressful situations in a diplomatic and tactful manner.

Knowledge in the use of network environments, internet and software applications (Word, Excel, PowerPoint, Access, electronic medical billing/records system, etc.).
Knowledge of agency programs, policies and procedures.

Knowledge of office procedures, spelling, punctuation and grammar.

Skill and accuracy in data entry. Skill and accuracy in using 10-key.
Skill in operating a personal computer and office equipment. Skill in using databases and Microsoft Office.
Skills in interpreting and applying policies and procedures.

Registrations, Licensure Requirements or Certificates:

None

Initial Screening Criteria:

Experience in billing, handling confidentail information, experience in interaction with customers and Microsoft Office.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

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 for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.

Salary Information, Pre-employment Checks, and Work Eligibility:

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work.  Download the I-9 form