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.

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 Note: A bachelor’s degree in Business Administration, Accounting, Finance or related degree may substitute for 1 year of administrative support experience.

• 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. • 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.

Available upon request.