DEPARTMENT OF HUMAN SERVICES
Health Care
Minnesota Association of Professional Employees  (MAPE)
**Bidders – Please note that you will be required to provide an updated resume to the hiring supervisor/manager for this position.**
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. As an HCRB Analyst, you will: 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 and account maintenance. • Ensure billing activities are completed accurately, timely, and in compliance with program requirements. Provide Technical and Operational Support • Create reports, organize, coordinate, and support daily HCRB operations. • Serve as a technical resource for team members and supervisors by providing consultation, training, policy interpretation, and billing guidance. • Identify trends, risks, and operational issues and recommend solutions. Resolve Complex and Escalated Billing Issues • Act as the escalation point for complex billing accounts and customer concerns. • Research, analyze, and resolve account discrepancies involving multiple systems and stakeholders. • Ensure timely and accurate resolution of priority inquiries while maintaining excellent customer service. Improve Business Processes and Program Operations • Participate in projects focused on process improvement, operational efficiency, and compliance. • Recommend enhancements to billing procedures, workflows, and system functionality. • Support testing, implementation, and monitoring of systems and policy changes impacting recipient billing.
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.