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Direct Billing Jobs in Minnesota (NOW HIRING)

SGS Consulting

Billing Representative

Eden Prairie, MN · On-site

$18 - $23.75/hr

Job Title: Billing Representative Duration: 3 Months(temp to perm) (direct offer) Location: Eden Prairie, MN • • Performs follow-up on outstanding Certificates of Medical Necessity (CMNs ...

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Direct Billing information

What is direct billing?

Direct billing is a payment process where a service provider, such as a healthcare clinic or insurance company, bills a third party (like an insurance provider or employer) directly for services rendered, instead of billing the client or patient. This means the client does not have to pay upfront and then seek reimbursement; the provider and third party handle payments directly. Direct billing is common in health, dental, or wellness services and helps streamline the payment process, making it more convenient for both customers and businesses.

What are the key skills and qualifications needed to thrive as a direct billing specialist?

To excel as a Direct Billing Specialist, you need a solid understanding of invoicing, accounts receivable, and financial recordkeeping, often supported by a background in accounting or finance. Familiarity with billing software, enterprise resource planning (ERP) systems, and sometimes certification in bookkeeping or accounting software is typically required. Strong attention to detail, organizational skills, and effective communication help ensure accuracy and resolve billing disputes efficiently. These competencies are crucial for maintaining cash flow, preventing errors, and building trust with clients and vendors.

What are some common challenges faced in a direct billing role, and how can they be managed effectively?

Direct Billing professionals often encounter challenges such as managing high volumes of invoices, ensuring accuracy in billing details, and resolving discrepancies with clients or insurance providers. Staying organized and maintaining clear communication with both internal teams and external partners are crucial to minimizing errors and delays. Leveraging billing software and regularly reviewing accounts can help streamline processes and quickly address any issues that arise. Being proactive and detail-oriented is essential for success in this role.

What is the difference between Direct Billing vs Medical Billing Specialist?

AspectDirect BillingMedical Billing Specialist
CredentialsOften requires knowledge of insurance policies and billing proceduresRequires coding certifications (e.g., CPC), insurance knowledge
Work EnvironmentHealthcare providers, clinics, hospitalsMedical offices, billing companies, healthcare facilities
Employer & Industry UsageProviders handle billing directly with insurersThird-party billing companies or in-house billing teams

While both roles involve billing processes, Direct Billing typically refers to providers billing insurers directly, whereas Medical Billing Specialists handle coding and processing claims for various healthcare providers. Understanding these differences helps clarify job responsibilities and industry expectations.

What are popular job titles related to Direct Billing jobs in Minnesota?

For Direct Billing jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Direct Billing jobs in Minnesota look for?

The top searched job categories for Direct Billing jobs in Minnesota are:

What cities in Minnesota are hiring for Direct Billing jobs?

Cities in Minnesota with the most Direct Billing job openings:

Direct Billing jobs near you
Infographic showing various Direct Billing job openings in Minnesota as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution.

Billing Representative

SGS Consulting

Eden Prairie, MN • On-site

$18 - $23.75/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 23 days ago

Job description

Company Description
About US: SGS is a New Jersey headquartered end-to-end Professional Services firm servicing a diverse Fortune clientele. SGS is a Equal Opportunity Employer and prides itself as a employee oriented organization that considers an ensemble of all employee satisfaction elements crucial to organizational and employee growth. We offer a complete range of benefit packages to our employees which includes but is not limited to paid vacations, holidays, personal days, medical insurance, 401K savings plan, life insurance, disability insurance and many other attractive benefits.
Job Description
Job Title: Billing Representative
Duration: 3 Months(temp to perm) (direct offer)
Location: Eden Prairie, MN
Job Description:
• • Performs follow-up on outstanding Certificates of Medical Necessity (CMNs), prescriptions and processes renewal CMNs/prescriptions through the use of suspended billing reports. Maintains and monitors follow up system to confirm that action takes place per Apria "best practices".
• • Performs timely follow-up on renewal authorizations to maintain reimbursement activity.
• • Contacts patient to gain involvement in problematic situations.
• • Elevates aged prescriptions to manager for decision and resolution.
• • Evaluates all completed CMNs/prescriptions/authorizations to ensure that the appropriate information has been obtained to allow for reimbursement as well as compliance with applicable standards and regulations.
• • Enters CMNs/prescription information into computer once the prescriptions are completed and returned from the physicians.
• • Documents all account activity on system. May perform internal quality audits to ensure that all necessary documentation is included in each patient file.
• • Processes, reviews and mails prescription and/or CMNs to physicians for signature.
• • Provides feedback on errors identified to the appropriate supervisor through the use of the ENF process or other accepted method.
• • Researches diagnosis and insurance benefits to receive proper reimbursement.
• • Assists in obtaining authorization for reimbursement for some accounts.
• • Requests adjustments on accounts and recommends necessary changes to supervisor.
• • Complies with and adheres to all regulatory compliance areas, policies and procedures and "best practices".
• • Performs other related duties as directed by supervisor.
Himanshu Ojha
6096518972

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