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Eligibility and Authorization Specialist/Management Analyst 2

Hugo, MN • On-site

State of Minnesota
Public Administration • 10K+ employees

$54K - $79K/yr

Other

Posted 5 days ago


State Of Minnesota rating

8.2

Company rating: 8.2 out of 10

Based on 176 frontline employees who took The Breakroom Quiz

4th of 50 rated states


Job description

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 (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : 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 (https://mn.gov/mmb-stat/policies/1422-telework.pdf) 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.

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 careers@state.mn.us . Please indicate what assistance is needed.


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About State of Minnesota

Sourced by ZipRecruiter

The Minnesota State Demographic Center (SDC), part of the Minnesota Department of Administration, is the main provider of demographic data and analysis for the state of Minnesota. The SDC assists policymakers, state and local governments, businesses, nonprofits, the media, and all Minnesotans locate and understand the demographic data they need to make smart decisions.

Industry

Public administration

Company size

10,000+ Employees

Headquarters location

Saint Paul, MN, US

Year founded

1967

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