Claims Processor jobs

Independent Living Partners is seeking a Billing, Claims, and Payroll Specialist who is detail-oriented, motivated, and experienced in healthcare billing and payroll operations. The ideal candidate will have at least two consecutive years of experience handling billing and claims within DHS-funded programs, Managed Care Organizations (MCOs), and county-funded programs, as well as experience processing payroll in a healthcare or social services setting.

The Billing, Claims, and Payroll Specialist supports financial operations related to billing, claims processing, and payroll across all ILP program services. Billing and claims are submitted daily and/or weekly, requiring consistent accuracy, timely follow-up, and strong organizational skills. This role ensures the accuracy of claims submissions, reconciles payments, monitors denials, and maintains compliance with state and payer requirements. The position also processes payroll on a bi-weekly basis.

Candidates with a degree in accounting and at least 2 years of experience are encouraged to apply.

Key Responsibilities:

• Review EVV timecards for accuracy; communicate with staff to resolve discrepancies
• Submit accurate and timely billing for multiple service types using systems such as RevivingCare, Cashe, Pavillio, and MN-ITS
• Process and submit Medical Assistance and insurance claims; confirm acceptance and resolve rejections
• Monitor billing cycles, perform claim replacements, and ensure reimbursement accuracy
• Create invoices for unit-based and dollar-based services
• Maintain and update the Rejection Spreadsheet, tracking follow-ups and resolutions
• Research and resolve denied claims; document all actions and rebill statuses
• Reconcile billing and payment activity; prepare financial reports to support audits and fiscal integrity
• Research aging balances; recommend adjustments or write-offs as appropriate
• Accurately apply payments and invoice client responsibility
• Stay current on service-specific billing rules, DHS guidelines, and payer requirements
• Ensure compliance with HIPAA and Generally Accepted Accounting Principles (GAAP)
• Process bi-weekly payroll accurately and on time
• Perform other related duties as assigned

Qualifications:

• Minimum 2 consecutive years of billing, claims, and payroll experience (required)
• High School Diploma or GED (required); Associate degree in healthcare administration, accounting, or business preferred
• Experience using EHR or billing software (RevivingCare, Cashe, Pavillio, MN-ITS)
• Strong proficiency in Microsoft Excel and Microsoft Office Suite
• Excellent attention to detail, analytical thinking, and organizational skills
• Fluent in English (verbal and written); bilingual candidates fluent in Spanish or Hmong are strongly encouraged to apply

Job Type: Full-time

Pay: $24.00 - $27.00 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off

Education:

• Associate (Preferred)

Experience:

• DHS billing/claims: 1 year (Preferred)

Language:

• English verbal and written (Required)
• Spanish, Hmong (Preferred)

Shift availability:

• Day Shift (Preferred)

Ability to Relocate:

• Bloomington, MN 55425: Relocate before starting work (Preferred)

Work Location: In person