Outpatient Clinic Front Office Clerk

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. 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:

 Outpatient Clinic Front Office Clerk 

Job Title:

 Clerk II 

Agency:

 Health & Human Services Comm 

Department:

 Rio Grande State Center 

Posting Number:

 16829 

Closing Date:

 05/27/2026 

Posting Audience:

 Internal and External 

Occupational Category:

 Healthcare Practitioners and Technical 

Salary Range:

 $2,481.75 - $3,404.91 

Pay Frequency:

MonthlySalary Group:

 

TEXAS-A-09

 

Shift:

 Day 

Additional Shift:

 Days (First) 

Telework:

 Not Eligible for Telework 

Travel:

 Up to 5% 

Regular/Temporary:

 Regular 

Full Time/Part Time:

 Full time 

FLSA Exempt/Non-Exempt:

 Nonexempt 

Facility Location:

 Rio Grande State Center 

Job Location City:

 

HARLINGEN

 

Job Location Address:

 1401 S

RANGERVILLE RD

 

Other Locations:

MOS Codes:

0100,0111,0160,0161,0170,3051,3372,3432,4133,6042,6046,6617,6672,15P,3F5X1,420A,42A,56M,68G,741X 8A200,

AZ,CS,F&S,LS,LSS,PERS,PS,RP,RS,SK,SN,YN,YNS Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Clerk II works under the general supervision of the Outpatient Front Office Supervisor. This position performs the registration process, cashiering, checking in patients and checking out patients when needed for established patients of the Rio Grande State Center Outpatient Clinic. Registration of patients will include interviewing applicants in both English and Spanish. The ability to calculate income from one to multiple sources to gather pertinent information needed for the registration process (i.e., Proof of residence). Clerk II links medical consent forms to the patient's medical record, and links patient's picture to the demographic account in the Electronic Medical Record. The Clerk II is cross trained to provide back-up support to the clerical team, which includes cashiers, collections, scheduling, and PBX switchboard. Registration assists the Social Services Department with retrieving patient financial information for the patient assistant programs. Will be responsible for replacing lost patient identification cards when needed. Cashiering/scheduling duties will include arriving patients to their appointment(s), accepting payments, posting charges and daily reconciliations. Communicates daily with patients in their preferred language, English or Spanish, via face to face or telephone contact. Will schedule/reschedule appointments and update patient demographics. Will notify patients of existing scheduled appointments by written reminder and a telephone call prior to appointment. Will act as a backup for the entrance door screening, and in providing daily counts of persons entering. Assist in maintaining the current supply of super bills for clinic and x-ray use, as needed. Clerk II will be required to perform other duties as assigned that are beneficial to the cooperation of the facility to include actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recover or Continuity of Operations (COOP) activation. Compliance with HHS Immunization Policy required: serologic evidence of immunity to or documented evidence of vaccination against, measles, mumps, rubella, varicella (chickenpox), Tdap, annual vaccination against influenza (and Hepatitis B, if applicable). Such participation may require an alternate shift pattern assignment and/or location. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Call patients to set up registration appointments and discuss documents to present on the appointment, interview, screen, and register patients. Perform data entry of patient applications and documents. Updating patient appointment status in a timely and accurate manner. Calculate the patient's copay amount based on patient's documentation. Update patient records with appropriate information so it is accessible to nursing, the pharmacy, and social services. Answer calls from patients and the public needing information about the Outpatient Clinic services and documentation required for registration. Provide back-up support to the cashier/scheduling team that includes cashier tasks, scheduling, and entrance door screen of patients/visitors. provide back-up support to the clerical team, which includes cashiers, collections, scheduling, and PBX switchboard Assist in maintaining the current supply of super bills and other needed supplies for clinic use, and the distribution of cashier's receipt books and maintaining an accurate log of the books that will be forwarded to the accounting department. Other duties as assigned include, but are not limited to, participating in activities and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternative shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of office procedures, medical office or medical terminology methods and procedures. Knowledge of standards and policies/ procedures. Knowledge of office procedure techniques. Knowledge and ability to use spelling, punctuation, grammar, and arithmetic skills beyond the 12th grade level. Knowledgeable with ICD-10 and CPT Codes. Knowledge of monetary collections and end of day balancing/reconciliations. Skills in using a personal computer and office equipment. Skills in Microsoft Word and Excel. Able to comply with HIPAA. Able to answer phone, take messages, and route to appropriate staff member. Ability to prepare and maintain records, files, and report. Ability to work effectively with patients of various socioeconomic backgrounds. Ability to bend, stoop and lift over 15 lbs. Ability to communicate professionally and courteously in both English and Spanish. Ability to read and write in English and Spanish. Ability to attend work in a timely and regular basis. Ability to interact/interview well with health care personnel, public, and patient/family members.

Registrations, Licensure Requirements or Certifications:

N/A Initial Screening Criteria:

Graduation from a standard senior high school or equivalent Experience in a medical setting with experience in the registration process, which includes interviewing individuals or patients, calculating income from one to multiple sources and gathering pertinent information needed for the registration process. Experience and education may be substituted for one another.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Able to communicate orally and in writing in English and Spanish. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 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 Auditor's Office - Job Descriptions.

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. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

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.