Health Care Recipient Billing Analyst - Human Services Program Specialist 2

State of Minnesota; Saint Paul (MN); Hybrid; USD 56,000 - 82,000; Full time

Job summary

The State of Minnesota seeks a Health Care Recipient Billing Analyst to support MHCP billing programs, ensuring accurate invoicing of premiums, fees, and spenddowns for programs like MA-EPD, MinnesotaCare, AC, MSHO, and SNBC. You will collaborate with counties, HCEO, FOD, and MMB while delivering direct customer service.

Responsibilities include applying federal/state billing rules, generating reports, and guiding staff on billing procedures, with emphasis on accuracy and compliance.

Qualifications

• 3+ years in accounting, financial, accounts receivable, or healthcare billing with analytics to process AR, reconcile discrepancies, and analyze data.
• Excel proficiency for data manipulation, reconciliation, pivot tables, and reporting.
• Experience reconciling data from multiple sources and identifying mismatches.
• Ability to interpret policies and provide technical guidance on billing matters.
• Experience identifying operational issues and proposing process improvements.

Responsibilities

• Serve as Billing Subject Matter Expert applying MHCP rules and guidance.
• Create and maintain reports to support daily billing operations.
• Provide technical consultation and billing guidance to staff and supervisors.
• Analyze data to identify trends, risks, and opportunities for improvement.
• Coordinate and support operational activities impacting billing processes.
• Resolve complex and escalated billing issues across multiple systems.

Skills

Accounting / AR

Excel proficiency

Data reconciliation

Policy interpretation

Process improvement

MAXIS, MMIS, SWIFT

SRU, CRM, FileNet, SharePoint

Tools

MAXIS

MMIS

SWIFT

SRU

CRM

FileNet

SharePoint

Job description

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 (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 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.

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.

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 [e-mail] . Please indicate what assistance is needed.