Health Care Recipient Billing Analyst - Human Services Program Specialist 2

State of Minnesota

  • St. Paul, MN
  • 12 days ago
  • $26.89–$39.22 Per Hour

Highlights

The HCRB team collaborates with counties and tribal agencies, Health Care Eligibility Operations (HCEO), the Financial Operations Division (FOD), Minnesota Management and Budget (MMB), and other stakeholders to support accurate billing and eligibility determinations while providing direct customer service to consumers and MHCP staff. The Health Care Recipient Billing (HCRB) team is responsible for maintaining recipient billing accounts and ensuring the accurate invoicing of premiums, fees, and spenddowns for the following Minnesota Health Care Programs: Medical Assistance for Employed Persons with Disabilities (MA-EPD).

Numbers & Facts

LocationSt. Paul, MN
Salary$26.89–$39.22 Per Hour

Description

Logo

When all employees are embraced, respected and heard, we will build a collaborative, equitable, inclusive and anti-racist culture where everyone thrives.

Job Details

Working Title: Health Care Recipient Billing Analyst

Job Class: Human Services Program Specialist 2

Agency: Human Services Dept

  • Job ID: 97629
  • 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: 10/09/2026
  • Closing Date: 10/22/2026
  • Hiring Agency/Seniority Unit: Human Services Dept / MAPE DHS Central Office
  • Division/Unit: Health Care Administration / Eligibility and Operations
  • Work Shift/Work Hours: Day Shift / Varies
  • Days of Work: Monday - Friday
  • Travel Required: No
  • Salary Range: $26.89 - $39.22 / hourly; $56,146 - $81,891 / annually
  • Classified Status: Classified
  • Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE
  • FLSA Status: Nonexempt
  • Designated in Connect 700 Program for Applicants with Disabilities: 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 youll 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.

Job Summary

This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

The Minnesota Department of Human Services (DHS) is seeking a highly skilled and detail-oriented Health Care Recipient Billing (HCRB) Analyst to support the administration of Minnesota Health Care Programs (MHCP). This position plays a critical role in ensuring the accurate billing of premiums, fees, and spenddowns that allow Minnesotans to maintain access to essential health care coverage.

The Health Care Recipient Billing (HCRB) team is responsible for maintaining recipient billing accounts and ensuring the accurate invoicing of premiums, fees, and spenddowns for the following Minnesota Health Care Programs:

  • Medical Assistance for Employed Persons with Disabilities (MA-EPD)
  • MinnesotaCare for Deferred Action for Childhood Arrivals (DACA)
  • Alternative Care (AC)
  • Minnesota Senior Health Options (MSHO)
  • Special Needs Basic Care (SNBC)

The HCRB team collaborates with counties and tribal agencies, Health Care Eligibility Operations (HCEO), the Financial Operations Division (FOD), Minnesota Management and Budget (MMB), and other stakeholders to support accurate billing and eligibility determinations while providing direct customer service to consumers and MHCP staff.

To be successful in this position, the HCRB Analyst must be able to perform the following essential functions:

Serve as a Billing Subject Matter Expert

  • Apply federal and state regulations, policies, and procedures governing MHCP billing programs.
  • Provide clear and accurate guidance to staff, stakeholders, and partners regarding billing requirements, account maintenance, and applicable procedures.
  • Ensure billing activities are completed accurately, timely, and in accordance with program requirements.
  • Interpret and apply billing policies and procedures to complex situations and provide recommendations for appropriate resolution.

Provide Technical and Operational Support

  • Create and maintain reports and other tools that support daily billing operations and management decision-making.
  • Serve as a technical resource for staff and supervisors by providing consultation, training, policy interpretation, and billing guidance.
  • Analyze operational data to identify trends, risks, discrepancies, and opportunities for improvement.
  • Coordinate and support operational activities, assignments, and initiatives that impact billing processes.

Resolve Complex and Escalated Billing Issues

  • Serve as an escalation point for complex billing accounts, discrepancies, and customer concerns.
  • Research, analyze, and resolve complex account issues involving multiple systems, programs, and stakeholders.
  • Reconcile information across multiple sources to identify and resolve discrepancies and ensure accurate account activity.
  • Ensure timely and accurate resolution of priority inquiries while maintaining professional and customer-focused service.

Improve Business Processes and Program Operations

  • Participate in projects and initiatives focused on process improvement, operational efficiency, accuracy, and compliance.
  • Identify opportunities to improve billing procedures, workflows, reports, and system functionality.
  • Recommend and implement process improvements based on operational analysis, identified risks, and stakeholder needs.
  • Support testing, implementation, and monitoring of system, policy, and process changes affecting recipient billing operations.
  • Evaluate the effectiveness of implemented changes and recommend additional improvements as needed.

Qualifications

Minimum Qualifications

Please ensure your resume clearly describes your experience and includes the month and year for all employment history.

Three (3) years of accounting, financial, accounts receivable, healthcare billing, or related analytical experience sufficient to process accounts receivable, reconcile account discrepancies, analyze financial or operational data, and ensure accurate billing activity.

Experience must demonstrate:

  • Intermediate to advanced proficiency in Microsoft Excel (organize, manipulate, reconcile, analyze, and report data using formulas and functions, sorting and filtering, pivot tables, conditional formatting, and other data-analysis tools).
  • Experience analyzing and reconciling data from multiple sources (identify missing, duplicate, inconsistent, or mismatched information and determine appropriate corrective action).
  • Experience interpreting and applying policies, procedures, rules, or other requirements to complex operational, eligibility, or billing situations and providing technical assistance, consultation, training, or guidance to staff, customers, stakeholders, or business partners.
  • Experience identifying operational issues and recommending process improvements to improve accuracy, efficiency, compliance, or service delivery.

Preferred Qualifications

  • Ability to communicate complex information clearly and effectively, both verbally and in writing, and document findings, decisions, and recommendations accurately.
  • Demonstrated attention to detail and ability to manage multiple priorities while meeting established deadlines.
  • Advanced experience navigating and utilizing Minnesota DHS and/or enterprise systems, such as MAXIS, MMIS, SWIFT, SRU, CRM, FileNet, and SharePoint.
  • Experience working with Minnesota Health Care Programs (MHCP) and knowledge of recipient billing policies, procedures, and processes.
  • Experience analyzing and interpreting billing, financial, eligibility, or operational data using tools such as SQL, Teradata, Excel, Access, or enterprise data warehouses.
  • Project management or project coordination experience, including leading or participating in process improvement initiatives, system implementations, or operational projects.
  • Experience working effectively with individuals from diverse backgrounds, cultures, and communities, including the ability to communicate complex information clearly and respectfully.

Additional Requirements

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

Application Details

How to Apply

Select "Apply for Job" at the top of this page. If you have questions about applying for jobs, contact the Careers Help Desk at 651-259-3637 or email careers@state.mn.us. For additional information about the application process, go to http://www.mn.gov/careers.

Contact

If you have questions about this position, contact Amy at Amy.Nguyen@state.mn.us

To receive consideration as a Connect 700 Program applicant, apply online, email the Job ID#, the Working Title and your valid Proof of Eligibility Certificate by the closing date to Kelly Ellich at kelly.ellich@state.mn.us.

If you are an individual with a disability and need an ADA accommodation for an interview, you may contact the Department of Human Services' ADA Coordinator at 651-431-4945 or DHS_ADA@state.mn.us for assistance.

About Human Services Dept

WE MAKE A DIFFERENCE! The Minnesota Department of Human Services impacts the lives of 1.7 million people every year, helping them meet their basic needs so they can achieve their highest potential.

Working together to improve the state we love.

What do Minnesotas State employees have in common?

  • A sense of purpose in their work
  • Connection with their coworkers and communities
  • Opportunities for personal and professional growth

Benefits

As an employee, youll have access to one of the most affordable health insurance plans in Minnesota, along with other benefits to help you and your family be well.

Your benefits may include:

  • Paid vacation and sick leave

  • 12 paid holidays each year

  • Low-cost medical, dental, vision, and prescription drug plans

  • Fertility care, including IVF

  • Diabetes care

  • Dental and orthodontic care for adults and children

  • 6 weeks paid leave for parents of newborn or newly adopted children

  • Pension plan that provides income when you retire (after working at least three years)

  • Employer paid life insurance to provide support for your family in the event of death

  • Short-term and long-term disability insurance that can provide income if you are unable to work due to illness or injury

  • Tax-free expense accounts for health, dental, and dependent care

  • Resources that provide support and promote physical, emotional, social, and financial well-being

Support to help you reach your career goals:

  • Training, classes, and professional development
  • Tuition reimbursement
  • Federal Public Service Loan Forgiveness Program (Some positions may qualify for the Public Service Loan Forgiveness Program. For more information, visit the Federal Student Aid website at studentaid.gov)

Employee Assistance Program (EAP) for work/life support:

  • A voluntary confidential program that helps employees and their families with life challenges that may impact overall health, personal well-being, or job performance
  • Common sources of stress can be addressed through the EAP: mental health, relationship challenges (personal and work), grief and loss, finances, and legal issues
  • Daily Living/Convenience Services: Chore services, home repair, trip planning, child/elder care

Programs, resources and benefits eligibility varies based on type of employment, agency, funding availability, union/collective bargaining agreement, location, and length of service with the State of Minnesota.

EQUAL OPPORTUNITY EMPLOYERS

Minnesota state agencies are equal opportunity, affirmative action, and veteran-friendly employers. State agencies are committed to creating a workforce that reflects the diversity of the state and strongly encourages persons of color and Indigenous communities, members of the LGBTQIA2S+ community, individuals with disabilities, women, and veterans to apply. The varied experiences and perspectives of employees strengthen the work we do together and our ability to best serve Minnesotans.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, sex (including pregnancy, childbirth, and disabilities related to pregnancy or childbirth), gender identity, gender expression, marital status, familial status, age, sexual orientation, status regarding public assistance, disability, veteran status or activity in a local Human Rights Commission or any other characteristic protected by law.

APPLICANTS WITH DISABILITIES

Minnesota state agencies make reasonable accommodations to their employees and applicants with disabilities. If you have a disability and need assistance in searching or applying for jobs with the State of Minnesota, call the Careers Help Desk at 651-259-3637 or email careers@state.mn.us and let us know the support you need.

Similar Jobs