Eligibility and Authorization Specialist/Management Analyst 2

Minnesota Direct Care and Treatment; Vadnais Heights (MN); Hybrid; USD 55,000 - 79,000; Full time

Benefits offered by this job

Paid vacation and sick leave

12 paid holidays each year

Pension plan

Job summary

Direct Care and Treatment in Vadnais Heights, MN is seeking an Eligibility and Authorization Specialist to secure insurance approvals before care is provided. You will work with CPA, county representatives, insurers, and clinical teams to ensure coverage and timely access to services.

The role supports the DCT Finance team, with hours typically 7:30am–4:00pm, onsite at least 50% of the time and telework on a limited basis.

Qualifications

• 1 year of experience in Revenue Cycle, Medical Billing, Prior Authorizations, or Utilization Management in a healthcare setting.
• Experience interpreting information to verify eligibility and communicating data clearly.
• Proficiency with payer portals and clinical/ billing systems (MMIS, Maxis, SMI, MN-ITS, Rev Connect, Connex).

Responsibilities

• Confirm insurance eligibility and initiate prior authorizations for admissions and upcoming services.
• Coordinate with CPA, counties, insurers, billing and clinical teams to secure payments.
• Educate patients and staff about authorization requirements, timelines and costs.

Skills

Revenue Cycle

Medical Billing

Prior Authorizations

Utilization Management

Tools

MMIS

Maxis

SMI

MN-ITS

Rev Connect

Connex

Job description

• Telework Eligible: Yes

Working Title: Eligibility and Authorization Specialist

Job Class: Management Analyst 2

Agency: Direct Care and Treatment

• Job ID: 96719
• Location: Vadnais Heights
• Telework Eligible: Yes
• Full/Part Time: Full-Time
• Regular/Temporary: Unlimited
• Who May Apply: Open to all qualified job seekers
• Date Posted: 09/01/2026
• Closing Date: 09/14/2026
• Hiring Agency/Seniority Unit: Direct Care and Treatment / DCT MAPE State Operated Svcs
• Division/Unit: DCT Support Services / DCT Finance Acct Recv Staff
• Work Shift/Work Hours: Day Shift / Typically 7:30am – 4:00pm, however work hours will be determined upon offer
• Days of Work: Monday - Friday
• Travel Required: No
• Salary Range: $26.12 - $37.91 / hourly; $54,538 - $79,156 / 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

Direct Care & Treatment (DCT) is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DCT 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 requires an employee to be onsite at 3200 Labore Rd, Ste 104, Vadnais Heights, Minnesota at least 50% of the time, with some opportunity to perform work from a telework location.

• Telework is available on a limited basis.
• Only candidates residing in Minnesota or a state bordering Minnesota (Iowa, North Dakota, South Dakota, or Wisconsin) within 50 miles of the work address listed above are eligible for telework.
• Candidates residing in Minnesota and more than 50 miles from the primary/principal work address above may be eligible to telework more than 50%.

Direct Care and Treatment (DCT) is seeking an individual to join our DCT Finance team for an exciting opportunity as an Eligibility and Authorization Specialist. As the Eligibility and Authorization Specialist, you will secure insurance approvals for medical services before they are provided, ensuring patient access to care and preventing billing issues.

Responsibilities Include

• Confirm insurance eligibility, obtain, understand and document coverage criteria and initiate prior authorizations for all new admissions and/or upcoming appointments of inpatient, outpatient and residential services offered at all DCT programs
• Partner with Central Pre-Admissions (CPA), county representatives, insurance companies, billing and clinical teams to secure payment of inpatient admissions and outpatient services
• Communicate and educate patients and staff about the authorization process, requirements, out-of-pocket costs and timelines

Minimum Qualifications

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

One (1) Year Of Experience In Revenue Cycle, Medical Billing, Prior Authorizations, Or Utilization Management In a Healthcare Setting. Experience Must Include The Following

• Interpreting information to verify information and determine eligibility
• Translating, evaluating and presenting data in a clear and concise manner
• Collaborating with external agencies and service providers
• Using a variety of computer systems and applications such as payer portals, MMIS, Maxis, SMI, MN-ITS, Rev Connect and Connex

OR

Three (3) Years Of Administrative Support Experience In The Areas Of Revenue Cycle, Medical Billing, Prior Authorizations, Or Utilization Management In a Healthcare Setting. Experience Must Include The Following

• Process and enter verified information and determined eligibility
• Supporting and communicating data in a clear and concise manner
• Collaborating with external agencies and service providers
• Using a variety of computer systems and applications such as payer portals, MMIS, Maxis, SMI, MN-ITS, Rev Connect and Connex

Note: A bachelor’s degree in Business Administration, Accounting, Finance or related degree may substitute for 1 year of administrative support experience.

Preferred Qualifications

• Experience with Inpatient Psych, Inpatient Residential and Outpatient Mental Health.
• Experience with Medicare and Medicaid billing.
• Two (2) – Five (5) years of experience in revenue cycle, medical billing, prior authorizations, or utilization management in a healthcare setting.
• Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures.

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 – Direct Care & Treatment will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.

EDUCATION VERIFICATION - Applicants will be required to provide a copy of their high school diploma at time of interview OR copies of their college transcript or college degree/diploma at time of interview. Copies of the college degree/diploma are acceptable ONLY if it clearly identifies the field in which it was earned.

Direct Care & Treatment (DCT) healthcare facilities require employees to provide documentation that they are free from tuberculosis (TB) through a blood test prior to employment. DCT does not accept TB skin testing.

About Direct Care And Treatment

DCT operates a highly specialized behavioral health care system that serves people with mental illness, substance abuse disorders, and developmental and intellectual disabilities. This includes psychiatric hospitals and other inpatient mental health treatment facilities; inpatient substance abuse treatment facilities; dental clinics, group homes, vocational sites, and sex offender treatment facilities.

Working together to improve the state we love.

What do Minnesota's 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, you'll 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
• Annual pay increases
• 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
• 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 [e-mail] and let us know the support you need.