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Location

Saint Paul, MN | United States

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Job description

Full job description

Basic Function

The current vacancies are in the Health and Wellness Service Team, Social Services Department. One vacancy is at the Mental Health Center and the other in Withdrawal Management / Detoxification Service area.


To audit and process bills and claims, post transactions, and balance and reconcile accounts in order to issue and receive payments and maintain appropriate accounting and bookkeeping records relating to county-wide or departmental accounting activities; to assist in assembling and analyzing data and budget information; to process personnel and payroll transactions; and to perform related duties as assigned. (This is the journey-level in this class series. It differs from Account Specialist 1 in that previous account specialist experience enables employees to perform complex tasks and requires more independent actions.)



Additional Duties:

• Performs financial screening of patients, using applicable tools and problem-solving skills.
• Communicates financial intake packet to the patient and/or patient’s family representative regarding the specific level of insurance benefit coverage and estimated patient liability.
• Assists walk-in patients/guarantors who have questions/concerns regarding their accounts.
• Secures payment arrangements (including collection of co-payments/coinsurance) prior to patient discharge and for major outpatient services.
• Works collaboratively with other disciplines in assessing the financial needs of the patient and other possible resources for payment.
• Provides cost estimates to prospective and current patients.
• Pre-Authorization calls and information to the payers
• Familiar with checking all insurance payer websites for eligibility.
• Initiates Financial Assistance process when applicable by obtaining the patient’s financial status and exhausting all other payment sources.
• Will assist with self-pay clients and set up in NextGen.
• Cross-training with eligibility and insurance enrollment.
• Initiates/completes Medical Assistance application process, including follow- up (if necessary).
• The employee is accountable to demonstrate proficiency for the skills outlined in the appropriate position skills list.
• The employee is accountable to maintain skill proficiency, including improvement were deemed necessary, and upgrading any additional or new skills on the appropriate position skills list.
• Compliance recognizes and complies with legal regulatory, accrediting, and procedural requirements related to area of responsibility.

Examples of Work Performed

• Audit bills, claims and related documents by recalculating and reviewing them to ensure accuracy of transactions and conformance with relevant payment conditions.
• Maintain general, control and subsidiary books of account by posting and monitoring transactions, distributing charges and calculating encumbrances.
• Balance accounts by computing totals and comparing results to external controls in order to ensure accuracy of accounts and to identify discrepancies.
• Reconcile account discrepancies by identifying errors, tracing errors to their sources, obtaining correct data and entering corrections.
• Prepare payment documents such as accounts payable forms, purchase orders, requisitions, claims, and similar items to initiate payments.
• Create accounts receivable documents for billable items by calculating rates, collecting and compiling data and preparing invoices.
• Prepare periodic reports to document transactions and budget conditions.
• Assemble information to assist in making cost projections and summarizing financial and statistical activity for use in budget preparation and other reports.
• Research costs for planned purchases by contacting potential vendors and analyzing information in terms of best cost/benefit outcome.
• Prepare documents as needed for personnel and payroll transactions affecting departmental staff; assist in the coordination of insurance benefits for department employees.
• Maintain supplies of frequently used documents by monitoring their use and arranging for orders.
• Operate a computer in a Microsoft Office environment or other related equipment, scanner, copier, calculator and telephone equipment in connection with account maintenance activities.
• Compose correspondence such as emails, letters, reports and certifications in response to requests from the public and other county employees.
• Provide requested account information as appropriate.

(The work assigned to a position in this classification may not include all possible tasks in this description and does not limit the assignment of any additional tasks in this classification. Regular attendance according to the position's management approved work schedule is required.)



ESSENTIAL FUNCTIONS : 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14.

Minimum Qualifications

Education: High school graduation or equivalent.



Experience: Three years of accounting/bookkeeping experience.



Substitution: Graduation from a recognized 2-year Accounting /Bookkeeping program may substitute for two of the three years of experience required. A Bachelor's Degree in Accounting/Bookkeeping or a related field may substitute for the three-year experience requirement. However, a minimum of six months in the Account Specialist 1 classification or the equivalent will be required prior to being able to career develop to the Account Specialist 2 classification.



Certifications/Licensure: None.

Exam/Screening Process Information

The examination process will consist of the following section with each section weighted as indicated:
Training and Experience Rating = 100%


The examination for Account Specialist 2 will consist of a training and experience rating, comprised of the questions in the attached supplemental questionnaire. Not all applicants who meet the minimum qualifications will pass the training and experience rating. The rating on this supplemental questionnaire will depend on your answers to the questions – do not mark “see resume” or “see work history” as a response. Please answer all your questions clearly and completely. Failure to respond could affect your score and final rank on this examination.



Eligible List: The names of all applicants who filed a properly completed application and passed the examination/screening process shall be placed on the eligible list for an employment opportunity as an Account Specialist 2. This list will be certified to the appointing authority which may use this list to conduct interviews to fill a vacancy. Candidates will remain on the Rule of 10 list, list for 1 month or until hired, whichever occurs first. A notice will be sent to applicants at the time the eligible list is posted, informing them that the list has been posted and their rank on the list.



Veteran's Preference: This is a classified position requiring an open, competitive selection process. Veteran's Preference points will be applied after a candidate passes the examination process. Applicants who are eligible for veteran's preference should update their veteran's DD214, and other supporting documents, and submit them as an attachment at the time of application.



Criminal Background Checks: All employment offers are conditioned upon the applicant passing a criminal background check. Convictions are not an automatic bar to employment. Each case is considered on its individual merits and the type of work sought. However, making false statements or withholding information will cause you to be barred from employment, or removed from employment.



In addition, you may be subject to one or more of the following:

• Background Investigation
• Department of Human Services (DHS) Background Check

E-Verify Participation: Ramsey County participates in the federal E-Verify program. This means that Ramsey County will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee's Form I-9 to confirm work authorization. If the Government cannot confirm that you are authorized to work, Ramsey County is required to give you written instructions and an opportunity to contact DHS and/or the SSA before taking adverse action against you, including terminating your employment. Employers may not use E-Verify to pre-screen job applicants and may not limit or influence the choice of documents you present for use on the Form I-9.



Equal Opportunity Employer: Ramsey County provides equal access to employment, programs, and services without regard to race, color, creed, religion, age, sex (except when sex is a Bona Fide Occupational Qualification), disability, familial or marital status, sexual orientation or gender identity, public assistance status, place of residence, political affiliation, or national origin. Ramsey County is deeply committed to advancing racial equity and promoting diversity and inclusion within all areas of our workforce.


. You will need to print this posting and answer the supplemental questions associated with this exam and submit them with your completed paper application.


For further information regarding this posting, please contact [email protected].

Ramsey County provides a wide range of employee benefits to support health, well-being, and work/life balance. Benefits eligibility can vary depending on union status/contract language. A summary of benefits is provided below. Detailed information is available for review at

• Medical, dental and vision insurance
  • The County contributes a bargained percentage to the medical and dental monthly premium
  • Employees choose from four enrollment tiers: Single, Employee + legally married spouse, Employee + Child(ren), Family
  • Blue Cross Blue Shield Medical insurance – three plan options including a High Deductible Plan with a Health Saving Account offered. Earn up to $20/month in electronic gift cards for each enrolled employee or spouse for wellness activity
  • MetLife Dental Insurance – two plan options offered
  • VSP Vision Insurance – Advantage Plan offered

• Pre-tax Benefit Program
  • Pre-tax medical, dental, vision monthly premium deduction option
  • Dependent and Health Care Flexible Spending Accounts
  • County monthly contribution to a Health Savings Account for employees who elect the High Deductible medical plan

• Paid time off
  • Vacation hours, accrued based on years of service, ranging from 12 to 25 days per year (pro-rated for part-time employees)
  • 11 scheduled holidays and one floating holiday
  • Up to three weeks of 100% paid parental leave, plus additional use of sick time as noted below
  • Sick hours accrued at a rate of three weeks per year, which can be used for medical and dental care; injury or illness for you, your spouse or children; the birth or adoption of a child (up to 80 hours) or the death of a family member (up to 40 hours)
  • Wellness incentive allows conversion of unused sick time to vacation or pay

• Retirement benefits
  • Pension - The county contributes at least 7.5% of your salary to your pension, depending on bargaining unit. Unlike other retirement investments, pension payments are a lifetime benefit once you start collecting payments
  • New employees become vested after five years. For the Police and Fire union, employees are vested after 10 years
  • Deferred compensation - 457(b) account with employer match
  • Health Care Savings Plan - all benefits-eligible employees contribute 1% of gross regular salary to a Health Care Savings Plan account for eligible health care expenses after retirement. Interest accrues tax free. County provides a scheduled contribution after five years of participation

• Transit and parking
  • Fully funded Metropass.
  • Transportation/parking expenses reimbursement account

• Employee well-being
  • Employee assistance program, including telephone counseling, financial counseling, rideshare benefits, etc.
  • Wellness programming
  • Flexible work policy with hybrid work options for eligible positions

• Life Insurance and Disability leave
  • County provided Basic Life coverage - 1x annual salary, minimum $10,000 up to a maximum of $50,000. Optional supplemental coverage available
  • Long-term Disability – County provided coverage replaces 40% of the employee’s lost income after six months of disability, subject to a $5,000 monthly maximum. Option to purchase an additional 20% income replacement up to $7,500 monthly maximum
  • Short-term Disability – option to purchase 60% income replacement coverage with 30, 60 or 90-day waiting period

• Career development
  • Tuition reimbursement, up to $4,000 per year
  • Online professional development opportunities through the Learning & Development Center
  • County employment qualifies as a public service organization for the Public Service Loan Forgiveness Program
  • Employee resource groups – help employees build connections through common bonds with colleagues

For information about Ramsey County's 2024 benefits, visit:

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