Insurance Claims Specialist / Management Analyst 2

Insurance Claims Specialist / Management Analyst 2 Working Title: Insurance Claims Specialist Job Class: Management Analyst 2 Agency: Direct Care and Treatment Job ID : 94196 Full/Part Time : Full-Time Regular/Temporary : Unlimited Who May Apply : Open to all qualified job seekers Date Posted : 05/12/2026 Closing Date : 05/26/2026 Hiring Agency/Seniority Unit : Direct Care and Treatment / DCT MAPE State Operated Services Division/Unit : DCT Support Services / DCT Finance Pt Accounting 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 : $25.67 - $37.26 / hourly; $53,598 - $77,798 / annually Classified Status : Classified Bargaining Unit/Union : 214 - MN Assoc of Professional Empl/MAPE 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%. Job Summary This posting may be used to fill multiple vacancies. Direct Care and Treatment (DCT) is seeking an individual to join our DCT Finance team for an exciting opportunity as an Insurance Claims Specialist. As the Insurance Claims Specialist, you will secure reimbursement for treatment provided to individuals at State facilities. Responsibilities include: Confirm insurance eligibility and benefit verification and ensure timely claim submission of inpatient and outpatient mental health, chemical dependency, residential, vocational and foster care, primary care and dental services. Review, research and correct demographic discrepancies and/or insurance coverage in the Practice Management System (PM) to ensure timely claim processing and payment. Review aged and unpaid claims. Analyze research and navigate payer specific coverage and reimbursement policies and/or submit coding reviews to resolve billing discrepancies in a timely manner. Qualifications Minimum Qualifications One (1) year of experience performing insurance claims management in a healthcare setting. Experience must include the following: Experience with accounting principles, practices, and procedures Experience in revenue cycle, medical billing, processing claim submissions, and analyzing insurance coverage Experience analyzing data, reports and interpreting records to identify and resolve discrepancies Experience using Microsoft Office Excel sufficient to create and maintain databases and spreadsheets, and to create and use formulas and queries to produce desired results Analytical and organizational skills to conduct research, interpret and understand relevant MN statutes, policies, contracts, guidelines, rules and regulations. OR Three (3) years of administrative support experience in the areas of insurance claims management in a healthcare setting. Experience must include the following: Experience with accounting principles, practices, and procedures Experience supporting revenue cycle, medical billing, reviewing claim submissions, and understanding insurance coverage and inquiries Experience using Microsoft Office Excel sufficient to maintain databases and spreadsheets 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, processing claim submissions, and analyzing insurance coverage. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures. Additional Requirements REFERENCE/BACKGROUND CHECKS – Direct Care & Treatment will conduct reference checks to verify job-related credentials and criminal background check prior to appointment. Benefits 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 View phone number on click.appcast.io or email View email address on click.appcast.io and let us know the support you need. CERTAIN DISABLED VETERANS Effective August 1, 2012, legislation provides state agencies with the option to appoint certain disabled veterans on a noncompetitive basis if they: 1) meet service requirements and have a verified service‑connected disability rating of at least 30%; 2) provide qualifying documentation verifying the disability; and 3) meet all Minimum Qualifications identified in this posting. To be considered under this legislation you must submit all documentation before the closing date to View email address on click.appcast.io. #J-18808-Ljbffr