Aldea Health exists to make perinatal care more just, more community-rooted, and more accessible for Medicaid-covered birthing people—especially in communities facing the highest disparities. This role is a key part of that mission. Every clean, timely claim you help submit supports our ability to get a birthing person the support they deserve. By building and maintaining reliable Medicaid billing workflows for doula services, you’ll help prove that community-based perinatal care can be sustainably funded and scaled—so that our systems work better for the people who need them most.

This part-time, contract role is ideal for an experienced Medicaid biller who wants their skills to directly support birth equity and community-based perinatal care. Role: Medicaid Billing Coordinator (Part-Time, Minnesota) Type: Independent contractor (1099) Hours: Approximately 3–10 hours per week to start, with the potential to increase as claim volume grows Duration: 6–9 month pilot period, with the possibility of extension if the program expands Location: Must be based in Minnesota; work is primarily remote with occasional in-person meetings in the Twin Cities area Schedule: Flexible and mostly asynchronous—work can be done on your own time, with periodic coordination with a Finance Lead Focus of the role: -Build and submit low-complexity Medicaid claims for doula and perinatal support services -Work directly in state and clearinghouse portals -Handle rejections, denials, and appeals to keep claims moving toward payment -Help design and refine early-stage billing workflows and checklists during a pilot Work environment: -Early-stage, process-building environment where your input is welcomed -Close collaboration with a Finance Lead and operations team -Direct interaction with Medicaid managed care plans and clearinghouses Compensation: Hourly, competitive, and DOE (depending on experience)

- Process-minded: able to follow a workflow and also help improve it as we learn - Clear, respectful communicator with finance, operations, payers, and occasionally doulas - Comfortable working in an early-stage, evolving environment where your feedback is valued - Genuine interest in birth equity and the role of Medicaid in supporting community-based care Required: - 2+ years of Medicaid billing experience, including direct experience with MHCP (Minnesota Medicaid) - Experience with outpatient/professional billing (e.g., clinic, behavioral health, allied health); willing to learn doula/perinatal-specific billing Hands-on experience: - Submitting claims through MN-ITS - Using at least one Medicaid clearinghouse (e.g., MN e‑Connect, Availity) - Working rejections, denials, and appeals (not just initial submissions) - Comfortable interacting directly with payers (MCOs/State Medicaid) by phone and portal to resolve issues and follow up on claims - Strong attention to detail and organizational skills; able to manage low-complexity claims at a volume that may grow from ~2–4/week to 10–20/week Minnesota resident with: - Your own computer - Secure, reliable internet - A private workspace appropriate for handling PHI - Prior exposure to HIPAA-compliant billing practices and willingness to complete additional HIPAA training with Aldea Preferred (Nice to Have): - Prior experience billing doula, maternity, or perinatal services - Experience with safety-net, community-based, or equity-focused organizations - Familiarity with secure document storage and audit-readiness for billing records - Comfort working in non-traditional billing environments (e.g., monday.com or other workflow tools) and manually building claims rather than relying on a traditional EMR/billing system

You will own the end-to-end claim lifecycle for Aldea’s doula services during our pilot, while helping us refine and document our billing workflows. Documentation review & preparation: - Review doula visit documentation for completeness and accuracy before claims are created - Confirm all required fields and notes are present according to payer and program requirements - Flag missing or unclear information to the operations team (and occasionally doulas) in a supportive, non-punitive way - Ensure each claim file contains all required documents before submission Claim creation & submission: - Build claims manually for doula/perinatal support services using Aldea’s codes, modifiers, and units - Submit claims, selecting the appropriate path based on member coverage and MCO - Verify basic member and provider information as part of the claim-building process Rejections, denials, and appeals: - Monitor clearinghouse and payer responses for rejections and denials - Correct and resubmit rejected claims in a timely manner - Investigate denials, identify root causes, and prepare appeals (including gathering and organizing supporting documentation) - Use your judgment to determine when an appeal is appropriate and discuss with the Finance Lead whenever an appeal might not be filed Tracking & basic AR support: - Maintain claim statuses in CRM-style board from “Ready” through “Submitted,” “Paid,” “Rejected/Denied,” and “Closed” - Help keep simple follow-up lists and reminders for outstanding claims (e.g., claims aged 30+ days) - Provide clear, organized billing information to the Finance Lead, who maintains the ledger in the accounting system Workflow refinement & process improvement: - Collaborate with the Finance Lead to refine and document Aldea’s billing workflows, especially during the early months of the pilot - Surface patterns (e.g., common denial reasons, payer-specific quirks, documentation gaps) and propose practical improvements - Contribute to building straightforward SOPs and checklists that make the process smoother for doulas, operations, and finance Collaboration & communication: - Report directly to the Finance Lead - Coordinate with the operations team when documentation issues affect doulas - Interact directly with MCOs, MHCP, and clearinghouses to resolve claim issues, clarify requirements, and follow up on outstanding claims

Aldea Health exists to make perinatal care more just, more community-rooted, and more accessible for Medicaid-covered birthing people—especially in communities facing the highest disparities. This role is a key part of that mission. Every clean, timely claim you help submit supports our ability to get a birthing person the support they deserve. By building and maintaining reliable Medicaid billing workflows for doula services, you’ll help prove that community-based perinatal care can be sustainably funded and scaled—so that our systems work better for the people who need them most.