Medical Billing and Finance Specialist

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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 , Gusto Payroll, and Quick Books.

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.

• 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.
• Oversee and maintain accurate financial records within systems such as Quick Books, , 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.

• 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.

• 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.

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

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

Please submit your resume to (Use the "Apply for this Job" box below). or apply through Linked In. 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

• Health insurance
• Paid time off
• Vision insurance

Work Location:

Hybrid remote in Louisville, KY 40242

• Entry level

• Full‑time

• Health Care Provider

• Non‑profit Organization Management