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Medical Billing and Finance Specialist
Medical Billing and Finance SpecialistKilgore Samaritan Counseling Center • Louisville, KY, United States
Medical Billing and Finance Specialist

Medical Billing and Finance Specialist

Kilgore Samaritan Counseling Center • Louisville, KY, United States
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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 insurance
  • Flexible schedule
  • Health insurance
  • Paid time off
  • Vision insurance
  • Work Location : Hybrid remote in Louisville, KY 40242

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    Medical Billing Specialist • Louisville, KY, United States

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