Accounting Specialist - Billing

Nicollet County; Saint Peter (MN); On-site; USD 55,000 - 75,000; Full time

Job summary

Nicollet County Health and Human Services seeks a fiscal specialist to support billing, accounting, and revenue processes under the Fiscal Supervisor. The role focuses on accurate MA/MCO billings, financial reporting, and compliance to ensure effective service delivery.

Responsibilities include reconciling claims, training staff on billing procedures, performing accounts receivable tasks, preparing financial data and grant reports, and providing back-up support for essential fiscal functions

Qualifications

• Associates Degree required; 1–3 years experience or equivalent.
• Valid Minnesota driver’s license.
• Knowledge of accounting principles and general ledger reporting.
• Familiarity with billing regulations and DHS/MCO guidelines.

Responsibilities

• Prepare, review, analyze, submit, and reconcile MA and MCO billings across programs.
• Provide training and support to HHS staff on billing procedures.
• Investigate and resolve billing discrepancies and ensure timely claim resubmission.
• Process charges and assign chart of accounts; initiate batches.
• Perform accounts receivable functions and balance cash receipts.
• Prepare financial reports and grant reports; support budgeting.
• Reconcile time records and billable claims; verify client billing activity.
• Conduct research and statistical reporting to support planning and compliance.
• Provide back-up for essential fiscal staff functions.

Skills

Financial analysis

Billing and claims

Accounts receivable

Financial reporting

Training & guidance

Time management

Attention to detail

Communication skills

Education

Associates Degree

Job description

Under the general supervision of the Fiscal Supervisor, this position plays an important role in supporting the staff and programs of Nicollet County Health and Human Services that serve individuals and families in our community. Responsibilities include complex fiscal, billing, and accounting functions such as preparing and reconciling claims, monitoring revenue, preparing financial reports, and providing fiscal support to staff. Through this work, the position helps ensure accurate billing, regulatory compliance, and reliable financial information that supports the effective delivery of Health and Human Services programs.

• Prepares, reviews, analyzes, submits, and reconciles monthly Medical Assistance (MA) and Managed Care Organization (MCO) billings across multiple Health and Human Services programs. Maintains and audits exception claims to prevent revenue loss
• Provides training, technical guidance, and ongoing support to HHS case workers to ensure compliance with billing procedures, documentation standards, and claiming requirements. Including developing and providing training to HHS staff in regards to time entry and billing updates
• Applies knowledge of state, federal, DHS, and MCO billing regulations to research, investigate, and resolve billing discrepancies, claim errors, complex medical billing issues, and compliance issues across HHS programs. Determines corrective action to ensure timely resolution, maximize successful claim resubmission/reimbursement, and ensure uninterrupted claims processing
• Processes charges for service. Verifies accuracy of charging information, determines chart of account codes for the financial system, and initiates claim batches for multiple service systems. Determines services to be invoiced and time reporting data
• Performs accounts receivable functions for the Human Services Department. Prepares receipts and determines coding for revenues for entry into general ledger. Record receipt document into multiple computer systems. Balances cash and receipt edit total to cash/checks total. Prints receipts and delivers to appropriate office. Edits, verifies, and makes corrections to all documents. Monitors claims, posts receipts, and adjusts. Reconciles human services revenue holding account
• Prepares, reviews, and collects financial data and/or statistical, accounting, or operational reports and spreadsheets. Disseminates information to appropriate individuals.
• Compiles, analyzes, and forecasts annual financial and operational data to assist in the budgeting process and preparation
• Compiles, reconciles, and audits monthly social worker time records and billable claims, including investigating discrepancies, verifying client billing activity, and ensuring accurate time-entry documentation
• Compiles and analyzes financial information and maintains spreadsheets to prepare monthly, quarterly, and annual grant reports. Research, compile data, and verifies accuracy and completeness of reports prior to the report's due date for grants
• Performs bank reconciliations for Child Support and Social Welfare Fund accounts monthly.
• Conduct research, data analysis, and statistical reporting for a variety of spreadsheets, databases, and operational logs to support departmental planning and compliance
• Researches and implements new DHS-approved billable service areas by developing processes for claim preparation, review, submission, and reconciliation
• Provides back-up support for essential fiscal staff functions

• Valid MN Driver’s License, and
• Associates Degree and
• One (1) to three (3) years of experience, or
• Any equivalent combination of education and experience to successfully perform the essential duties of the job

• Ability to listen, comprehend, and effectively communicate information both written and orally to all individuals
• Ability to apply discretion, judgment, and organizational skills
• Ability to make mathematical computations with and without mechanical assistance
• Ability to prepare accurate financial and other records and reports in a systematic, neat, legible manner
• Ability to work independently
• Knowledge of applicable State, Federal, and local laws, rules, and regulations
• Knowledge of record retention schedule principles
• Knowledge of medical billing and diagnosis codes and applicable billing requirements
• Knowledge of accounting principles
• Knowledge of general ledger reporting techniques
• Knowledge of and ability to use computer software sufficient for departmental operations