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Working Title: Health Care Recipient Billing Specialist

Job Class: State Program Administrator, Technical Specialist

Agency: Human Services Dept

+ **Job ID** : 85383

+ **Location** : St. Paul

+ **Telework Eligible** : Yes

+ **Full/Part Time** : Full-Time

+ **Regular/Temporary** : Unlimited

+ **Who May Apply** : Open to all qualified job seekers

+ **Date Posted** : 06/05/2025

+ **Closing Date** : 06/11/2025

+ **Hiring Agency/Seniority Unit** : Human Services Dept / DHS Central Office AFSCME

+ **Division/Unit** : Health Care Administration / Health Care Eligibility and Operations

+ **Work Shift/Work Hours** : Day Shift / Varies

+ **Days of Work** : Monday - Friday

+ **Travel Required** : No

+ **Salary Range:** $23.26 - $32.79 / hourly; $48,566 - $68,465 / annually

+ **Classified Status** : Classified

+ **Bargaining Unit/Union** : 207 - Technical/AFSCME

+ **Work Area** : G - Health Care Eligibility Operations

+ **FLSA Status** : Nonexempt

+ **Re-Posting** : Yes

+ Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes

The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E-Verify.

The work you'll do is more than just a job.

At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities.

This position was previously announced on 4/4/2025. If you already applied for this job, you do not need to reapply.

This position is eligible for telework to applicants who reside in Minnesota or a bordering state. Effective June 1, employees living within 50 miles of the office location listed above will be required to work in the office at least 50% of the time each month. For those who live 50 or more miles away, with supervisory approval and satisfactory performance are eligible to telework up to 100% of the time.

This position is an integral part of the Department of Human Services Health Care Eligibility Operations Division. The Health Care Recipient Billing team ensures billing accounts are opened and closed timely, and that inquiries, invoices and payments are effectively addressed and processed, administer and enhance the accounts receivables, billings and business processes within the State Wide Integrated Financial Tools (SWIFT) System. This position will work closely with other professionals inside and outside DHS as well as the people we serve via phone and email contact.

Under general supervision/procedure control, the incumbent will be responsible for coordinating, establishing, and maintaining the administration of the recipient premium, spend-down and fee billing programs:

+ Medical Assistance for Employed Disabled Persons (MA-EPD)

+ Alternative Care (AC)

+ Special Needs Basic Care (SNBC)

+ Minnesota Senior Health Options (MSHO)

+ MinnesotaCare for DACA (Deferred Action for Childhood Arrivals) Grantees

The incumbent will review administrative processes for accuracy, technical competency, for compliance with eligibility, reporting, and other administrative requirements to ensure the highest degree of fiscal integrity while maintaining a high standard of customer service.

Minimum Qualifications

+ One year of customer service experience working in a call center environment handling high call volumes. Ability to interact effectively with individuals having differing backgrounds to provide prompt, courteous and accurate information on the telephone.

+ One year of experience in accounts receivable or data entry skills using an accounting software platform or accounting skills sufficient to process account receivables, resolve account variances, and ensure correct billing activity.

+ Experience using multiple databases simultaneously to manage and interpret complex data and tasks.

+ Experience using Microsoft Office suites specifically Excel, Word, Outlook, Teams and SharePoint sufficient to export data, create tables and reports, draft documents and emails, communicate through chat and navigate document libraries and lists.

+ Basic math skills to calculate premium changes, credits and debits, reconcile financial transactions and balance accounts.

+ Able to perform effectively and efficiently with others and independently in a high-pressure work environment to produce high quality results when there are multiple work tasks, varying time constraints and deadlines.

+ Effective listening sufficient to:

1. Understand information provided by customers.

2. Ask pertinent questions to get at the root of the problem in order to better comprehend issues, improve accuracy, and provide relevant solutions.

3. Build relationships, foster trust, and defuse conflict.

4. Understand the context of conversations, requests, and assignments.

5. Identify and understand various stakeholder perspectives and communication styles and needs in order to resolve issues.

Preferred Qualifications

+ One year experience working in the Statewide Integrated Financial Tools (SWIFT) system.

+ One year experience with Minnesota Health Care Programs eligibility, utilizing the MAXIS and MMIS eligibility systems.

+ Demonstrated critical thinking skills and ability.

+ Ability to type 40-60 words per minute with 95% accuracy.

+ Experience working effectively with people from diverse backgrounds and cultures.

+ Research, analysis, and problem solving sufficient to:

1. Receive, understand, and interpret complex state and federal laws, MHCP billing and related eligibility policy, processes, reports, as well as technical, system, and business information

2. Logically approach problems using analysis and sound reasoning.

3. Conduct research about MHCP recipient billing issues using a variety of data and information resources.

4. Analyze, interpret, and take action on simple to complex eligibility and billing data.

5. Determine compliance with MHCP policies and processes as they relate to billing

6. Interpret and apply a variety of manuals and tools.

Additional Requirements

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held.

REFERENCE/BACKGROUND CHECKS - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

AN EQUAL OPPORTUNITY EMPLOYER

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status.

Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email [email protected] . Please indicate what assistance is needed.