Working Title: Eligibility and Authorization Specialist
Job Class: Management Analyst 2
Agency: Direct Care and Treatment
Job ID : 90488
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 : 11/26/2025
Closing Date : 12/09/2025
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: $25.67 - $37.26 / hourly; $53,598 - $77,798 / 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.
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.
