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 . 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 insuranceFlexible scheduleHealth insurancePaid time offVision insuranceWork Location : Hybrid remote in Louisville, KY 40242