Billing Specialist

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Billing Specialist based in Minnesota, United States.

The Billing Specialist will play an important role in ensuring accurate medical billing, efficient claims management, and timely reimbursement across healthcare services. This position focuses primarily on Minnesota Medical Assistance (MA) billing, including claims submission, accounts receivable monitoring, denial resolution, and appeals management. You will work closely with Revenue Cycle leadership and cross-functional teams to identify and resolve payment barriers while maintaining compliance with payer requirements.

The role also involves coordinating with Minnesota DHS, managed care organizations, and commercial insurers to ensure claims are processed efficiently. As part of a collaborative, remote team, you will contribute to improving billing processes, maintaining accurate financial records, and supporting uninterrupted access to healthcare services. This is an opportunity for an experienced billing professional to make a meaningful contribution to healthcare revenue cycle operations.

• As a Billing Specialist, you will manage the medical billing and reimbursement process, ensuring claims are accurate, payment issues are resolved promptly, and all activities comply with established procedures and regulatory requirements.
• Prepare, review, and submit accurate claims to Minnesota Medical Assistance, managed care organizations, and commercial insurance providers while meeting payer-specific filing deadlines.
• Monitor assigned accounts receivable and claim statuses, investigate unpaid or underpaid claims, and follow up with payers to secure timely reimbursement.
• Analyze claim rejections and denials, correct billing errors, prepare appeals with supporting documentation, and track deadlines.
• Escalate unresolved or high‑risk claims to the appropriate teams and stakeholders.
• Verify insurance eligibility and coverage, coordinating the resolution of authorization, provider enrollment, and other payer‑related requirements.
• Maintain accurate client billing profiles, charges, payment postings, and adjustments in accordance with established procedures and approval limits.
• Respond to payer correspondence and documentation requests, ensuring all required records are submitted accurately and on time.
• Communicate professionally and respectfully with clients and families regarding insurance coverage and billing inquiries.
• Document claim follow‑ups, payer communications, resolution efforts, and next steps in designated systems to maintain clear workflow visibility.
• Identify recurring billing issues, communicate findings to leadership, and contribute to approved process improvements.
• Collaborate with Revenue Cycle, Credentialing, Authorizations, and clinical teams to resolve reimbursement barriers.
• Support cross‑training, backup coverage, and other billing activities while meeting established productivity and accuracy standards.
• Maintain the confidentiality of client information and ensure compliance with HIPAA and organizational policies.
• Perform additional assignments as requested by management and provide support across billing and reimbursement operations.

• The ideal candidate has extensive medical billing experience, particularly with Minnesota Medical Assistance, and demonstrates strong expertise in claims resolution, accounts receivable management, and payer communication. You should be detail‑oriented, organized, and comfortable managing priorities independently in a remote work environment.
• High school diploma or equivalent.
• At least 5 years of medical billing experience, including claims…