Working Title: Provider Resource Center Representative
Job Class: Minnesota Health Insurance Programs Representative 1
Agency: Human Services Dept
Job ID : 92617
Location : St. Paul
Telework Eligible : Yes
Full/Part Time : Full-Time
Regular/Temporary : Unlimited
Who May Apply : Open to all qualified job seekers
Date Posted : 03/04/2026
Closing Date : 03/10/2026
Hiring Agency/Seniority Unit : Human Services Dept / DHS Central Office AFSCME
Division/Unit : DHS-Central Office / HCA MPPS PR PCC Physician
Work Shift/Work Hours : Day Shift
Days of Work : Monday - Friday
Travel Required : No
Salary Range: $24.41 - $34.24 / hourly; $50,968 - $71,493 / annually
Classified Status : Classified
Bargaining Unit/Union : 207 - Technical/AFSCME
Work Area : (Required for AFSCME)
FLSA Status : Nonexempt
Designated in Connect 700 Program for Applicants with Disabilities (https://mn.gov/mmb/careers/diverse-workforce/people-with-disabilities/connect700/) : Yes
This position is eligible for telework (https://mn.gov/mmb-stat/policies/1422-telework.pdf) for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.
The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS 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.
The Provider Resource Center Representative works in a customer service oriented, in-bound call center work environment answering a high volume of calls from health care providers with limited direction from supervisor. Responsibilities include:
Multi-tasking and analytical skills using multiple computer systems and applications open on the desktop to retrieve information from all sources to complete the call
Answering questions from enrolled providers and prospective providers regarding a wide variety of topic including benefits, coverage, claims, authorizations, enrollment and eligibility
Analyze, investigate, triage, resolve or assist in the resolution of the callers concerns, highly complex issues or provide additional resources, referrals or support, within given parameters
Balance the need to expeditiously service a continuous flow of customers with a focus of ensuring quality service, excellent customer service and relaying accurate, detailed, relevant information
Develop and maintain ongoing working relationships with provider groups, their billing practices, medical services/procedures, pharmaceuticals and claims processing cycles
Become versed in and able to apply policy, procedures, coding and forms used in association with provider @types and transactions
Instruct providers on procedures, forms and codes used in association with MMIS and MN-ITS systems
Provide step by step procedures with sensitivity to individual learning differences and instruct callers through processes
Ability to maintain confidentiality regarding provider information
The incumbent must be able to perform the essential functions of the job, with or without reasonable accommodation.
Minimum Qualifications
To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month, day and year for each job held.
Two years of customer service experience
One year of experience in a high volume, deadline driven and accuracy-focused call center environment answering phone calls and meeting performance and production standards
Ability to administer policies, procedures, and systems used to make eligibility determinations
Strong computer skills with the ability to navigate multiple software applications, databases, as well as possessing data entry skills
Ability to use math skills to calculate income using multiple sources of documentation
Strong customer service skills and effective oral and written communication
Ability to read, speak and write English well enough to understand, apply and explain complex eligibility policies.
Quickly adapt to changing policies and procedures
Ability to work within a high volume, deadline-orientated, and accuracy-focused program where performance and production standards must be met
Ability to multi-task and work independently with a strong work ethic and demonstrated record of regular attendance
Preferred Qualifications
Experience involving decision-making and customer service responsibility within a complex policy environment (e.g. applying eligibility, insurance, health care, or service industry policy while dealing with a high volume customer base)
Experience with the Medical Management Information System (MMIS) payment and eligibility system
Experience with health care billing
Experience with electronic data interchange (EDI)
Experience working in a health care call center
Experience with Minnesota Health Care Programs (MHCP) claims
Familiarity with medical terminology
Variety of experiences working effectively with others from different backgrounds and/or 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 - The Department of Human Services will conduct reference checks to verify job-related credentials and criminal background check prior to appointment.
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.
