Benefits:

401(k)

Employee discounts

Health insurance

Paid time off

Company: Nutritional Weight & Wellness Job Type: Full-Time Location: St. Paul, MN (Hybrid)

First, a little about us. We help people build healthier lives — and we think that starts with our own team. Weight & Wellness is a small, people-first nutrition practice where work/life balance is real, every team member matters, and no one is just a job title. If you've worked at a place where your effort went unnoticed, this will feel different.

Now, the role. We're bringing insurance billing in-house and need a skilled billing and credentialing specialist to own it. You'll work inside Healthie (EHR) and ClaimMD (EDI) — modern tools that handle a lot of the heavy lifting — but this role still requires a sharp, experienced person who knows how to read a denial, fix a claim, credential a provider, and talk to a client about their benefits without making their eyes glaze over.

What You'll Own:

Day-to-Day:

Reviewing claims that Healthie auto-generates from appointments, then submitting them to ClaimMD — claim status updates automatically from there as remittances come in

Eligibility verification before appointments — ClaimMD covers most payers automatically; you'll handle the small number of exceptions through payer portals

Sending copay/coinsurance invoices once insurance remittance posts — amounts are pre-populated from the claim, not calculated by hand

Being the go-to person for front desk staff, clients, and providers when an insurance question comes up — and actually helping them understand the answer

As-Needed:

Correcting and resubmitting denied or rejected claims using the reason codes ClaimMD surfaces (occasional formal appeal for more complex cases)

Periodic follow-up on aging accounts receivable balances

Tracking referral requirements and coordinating with clients and referring providers when it comes up

Handling prior authorizations for the occasional plan that requires one (not common for MNT, but it does come up with some Medicaid and HMO plans)

Ongoing (not appointment-driven):

Credentialing new providers and keeping everything current — CAQH profiles, revalidations, payer enrollments, expiring documents

What We're Looking For:

4+ years of medical billing experience (nutrition or wellness setting is a bonus)

ClaimMD or equivalent clearinghouse experience

Solid CPT/ICD-10 coding knowledge, especially MNT codes (97802, 97803, 97804)

Credentialing experience — CAQH, payer enrollment, the whole process

Comfortable with payer portals (Availity, NaviNet, etc.)

A communicator who can explain insurance in plain English

Someone who runs their own work, hits their own deadlines, and doesn't need to be managed

What You'll Get:

A team that actually respects your personal time

Recognition for the work you do — in a small practice, good work doesn't go unnoticed

Room to make this role your own and improve how things run

Competitive pay based on your experience

Health Insurance, Paid Time Off, 401K, Life Insurance, Employee Discount

Ready to apply? Send your resume and why you think you're a good fit for the role.

Flexible work from home options available.