Medical Billing and Finance Specialist

Job Description

Position Summary

Kilgore Counseling Center is seeking a Medical Billing & Finance Specialist to manage our insurance billing, accounts receivable, and key financial processes that support our mission of ensuring accessible, high-quality mental health care. This hybrid role combines hands-on insurance billing with light-to-moderate financial oversight, including using software such as BILL.com, Gusto Payroll, and QuickBooks.

Full-time is preferred, but we are willing to consider a part-time arrangement (20–30 hours/week) for a candidate with strong medical billing expertise and the ability to work independently.

This role is ideal for someone who enjoys a blend of revenue cycle management and small nonprofit finance work, with autonomy, flexibility, and meaningful mission-driven impact.

Key Responsibilities

Medical Billing & Revenue Cycle Management (Primary Role)

• Submit insurance claims to commercial payers, Medicaid, and Medicare, ensuring clean claim processes.
• Manage accounts receivable, including tracking payments, posting remittances, reconciling claims, and monitoring aging reports.
• Follow up on denied, rejected, or unpaid claims; correct and resubmit as needed.
• Verify insurance benefits and eligibility through payer portals (e.g., Availity).
• Manage private-pay billing, client statements, and payment plans.
• Serve as a billing resource for clients and clinicians regarding insurance or account questions.

Financial & Administrative Support

• Oversee and maintain accurate financial records within systems such as QuickBooks, BILL.com, and Gusto.
• Process biweekly payroll through Gusto (full-time role only or PT depending on candidate skill).
• Assist with reconciliation and monthly financial procedures in collaboration with the Executive Director.
• Track and enter donations, grants, and contract revenue into appropriate systems.
• Assist with grant reimbursement requests and basic financial reporting.
• Maintain organized documentation for audits, compliance, and year-end financial processes.

Compliance & Operations

• Ensure adherence to Medicaid, Medicare, commercial payer, and state/federal billing requirements.
• Maintain confidentiality and data security in accordance with HIPAA.
• Collaborate with administrative staff to support efficient office and billing workflows.
• Identify opportunities to streamline billing and financial processes.

Qualifications

Required

• 2+ years of medical billing or revenue cycle experience (behavioral health strongly preferred but not required).
• Knowledge of claim submission, EOBs/ERAs, coding basics, insurance follow-up, and payer portals.
• Strong organizational skills, accuracy, and independent problem-solving.
• Familiarity with accounting or practice management software (EHR experience strongly preferred).
• Proficiency with Excel and general computer skills.
• Ability to work remotely with reliability, good communication, and self-direction.

Preferred

• Experience with BILL.com, Gusto, Availity, and/or QuickBooks.
• Nonprofit finance experience (donations, grants, or contract billing).
• Payroll processing experience.
• Medicaid behavioral health billing background.

Work Environment & Schedule

• Hybrid: Combination of on-site and remote work. On-site will have a private office in a warm and collaborative environment with a small team.
• On-site tasks include deposits, scanning paperwork, occasional client billing questions, and team coordination.
• Remote work suitable for billing, AR follow-up, payment posting, denials, and financial tasks.
• Flexible scheduling options available for part-time candidates.

Why Join Kilgore

• Mission-driven organization making mental health care accessible to all.
• Opportunity to shape and improve internal systems.
• Small, supportive, collaborative environment.
• Flexibility and autonomy in your day-to-day workflow.
• Meaningful work that directly impacts clients and the community.

To Apply

Please submit your resume to mpaxton@kilgorecounseling.org or apply through LinkedIn. Candidates will be reviewed on a rolling basis.

Job Types: Full-time, Part-time

Pay: $23.08 - $28.85 per hour

Expected hours: 20 – 40 per week

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Paid time off
• Vision insurance

Work Location: Hybrid remote in Louisville, KY 40242