Medical Billing and Medicaid Enrollment Specialist

Children’s Respiratory and Critical Care Specialists, PA is in search of an experienced medical biller to join our team. We are expanding our billing department. This could be a hybrid role working in the office 1-2 days per week or a full time in office position based on your personal preference.

Job Summary:

Provide daily management of claims processing and denied claims. Perform regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution. Manage out of state Medicaid payer enrollment process.

Job Description/Responsibilities:

• Manage all denials and accounts receivables daily
• Contact payers to determine reason for claim denial
• Manage out of state Medicaid claims by verifying provider is enrolled, completing enrollment applications when needed and maintaining online portals.
• Provide a high level of customer service to families and third party payers
• Perform charge corrections, submit replacement claims and appeals to third party payers
• Utilize all resources available, including electronic inquires to verify eligibility, and claim status
• Exercise good judgement towards account resolution and document all activity in clear, accurate, and consistent manner
• Meet departmental productivity and quality assurance standards
• Resolve billing errors and work with third party payers, toward efficient and effective claims resolution
• Inform business office manager of repetitive billing errors, third party payer trends, denials, or payment fluctuation, to ensure proper handling and escalation when necessary
• Maintain a thorough knowledge of third-party billing and collection requirements for payers
• Contact families for additional information in order to have claims
• processed and paid in a timely manner
• Actively participate in creating and implementing improvements
• Performs other responsibilities as needed/assigned

*This job description is not intended to be all-inclusive, but is intended to be a generalized guide of job duties. Management may change the job responsibilities and expectations based on business requirements.

Qualifications:

• High school diploma or equivalent
• Minimum of two years of healthcare billing and claims experience in a medical office setting.
• Experience with Medicaid billing preferred.
• Experience with payer enrollment preferred.
• Experience with an automated billing system. eClinicalWorks experience preferred.
• Strong written and verbal communication skills including proficiency in Microsoft Office products (Word, Excel, Outlook, Teams)

Hours and Benefits:

• Full time, up to 40 hours per week
• Location – Our Minneapolis Office
• Hybrid position after training is completed. Current staff share working in the office and working from home. Arrangements could be made for some to work in the office full-time if desired. A typical week is 1-2 days in the office and 3-4 days at home. Staff have some flexibility in their hours. They need to work 8 hours between the hours of 7:00 am and 5:00 pm on weekdays. This maximizes the time you are available to work with coworkers and insurance companies. Office and remote work balance may change as the needs of the department or office change.
• Training will be in person in our Minneapolis office. Training timeline will be based on the experience and needs of the applicant.
• Position is benefits eligible. CRCCS offers a generous benefits package.
• Employer pays 80% of employee's medical and 100% dental premiums on base plans plus contributes to health savings account. Partial paid coverage is available for spouse and dependents.
• Employer paid disability and life insurance.
• Generous paid time off including vacation and holiday pay.
• Paid parking or public transportation pass.
• 401k plan with employer match and profit-sharing contributions
• Starting pay range $26 to $28 per hour based on experience

Desired start date is March or April 2026

Please attach a cover letter that includes a brief statement describing how your previous experience prepares you for this role and why you believe you are a strong candidate.

Pay: $26.00 - $28.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Retirement plan

People with a criminal record are encouraged to apply

Application Question(s):

• We are looking for an individual with previous medical billing experience working in a medical clinic setting. Have you worked in this type of setting?
• Please attach a cover letter or include a brief statement describing how your previous experience prepares you for this role and why you believe you are a strong candidate here.

Ability to Commute:

• Minneapolis, MN 55404 (Required)

Work Location: Hybrid remote in Minneapolis, MN 55404

Salary : $26 - $28