Medical Billing and Finance Specialist Job at Kilgore Samaritan Counseling Center, Louisville, KY

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  • Kilgore Samaritan Counseling Center
  • Louisville, KY

Job Description

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

Job Tags

Hourly pay, Full time, Contract work, Part time, Work at office, Flexible hours,

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