Billing/AR Specialist

Extra Special Parents; Richmond (VA); Hybrid; USD 48,000 - 64,000; Full time

Benefits offered by this job

Company-paid Medical, Dental, and Vis​

Hybrid Work Schedule

Mileage Reimbursement

401K Plan with Employer Match

Paid Time Off: Nine company-paid<br>H​

Employee Referral Program

Employee Assistance Program

Job summary

Extra Special Parents is seeking a Billing/AR Specialist to manage monthly locality invoices and Medicaid claims in a hybrid Virginia-based role. You will collaborate with internal teams to ensure accurate billing, resolve denials, and maintain precise AR records.

The ideal candidate has 2+ years in billing/AR, familiarity with Medicaid processes, and experience with QuickBooks Online. Hybrid work, strong benefits, and professional growth opportunities are offered.

Qualifications

• Associate degree in Accounting, Finance, Business Administration, or related field.
• Two (2) or more years of billing, accounts receivable, or related accounting experience.
• Experience processing Medicaid, healthcare, insurance, or government claims preferred.
• Experience researching and resolving claim denials and outstanding accounts receivable preferred.
• QuickBooks Online or comparable accounting software experience preferred.

Responsibilities

• Prepare and process monthly locality invoices and Medicaid insurance claims accurately and within deadlines.
• Review Medicaid remittance information and EOBs to identify paid, denied, rejected, or underpaid claims.
• Research and resolve Medicaid claim denials and rejections, including correcting claims and resubmitting timely.
• Follow up on outstanding locality invoices and Medicaid claims to facilitate reimbursement and reduce aging balances.
• Run and analyze client reports to support accurate invoice and claim preparation, ensuring documentation is complete.
• Ensure compliance with billing requirements, payer terms, and company procedures.
• Assist with accounts receivable and deposit reconciliations as part of month-end close.
• Maintain accurate billing records in the accounting system and communicate with payers as needed.

Skills

Accounts receivable

Billing

Payment posting

Collections

Account reconciliation

Medicaid billing

Claims processing

HIPAA compliance

GAAP understanding

Analytical skills

Attention to detail

Communication skills

Time management

Education

Associate degree in Accounting, Finance, Business Administration, or related field

Tools

QuickBooks Online

Job description

About Extra Special Parents:

At Extra Special Parents (ESP), we believe every child deserves a safe home and a nurturing adult they can trust. Since our inception in 2006, our mission has been to support Virginia's foster children and families. Our network has grown to over 150 licensed active foster and adoptive families. Together, the foster parents in our community have significantly impacted the lives of countless foster children across the Commonwealth.

About the Billing/AR Specialist:

The Billing/AR Specialist is responsible for managing day-to-day billing and accounts receivable activities for the organization, including preparing and submitting locality invoices and Medicaid insurance claims, monitoring outstanding receivables, and maintaining accurate supporting documentation. The position works collaboratively with internal departments, localities, Medicaid, and other payers to ensure services are billed accurately and in a timely manner, and that outstanding balances are appropriately researched, followed up on, and resolved.

Benefits for the Billing/AR Specialist:

• Company-paid Medical, Dental, and Vision Insurance for the Employee (competitive rates for additional insured)
• Hybrid Work Schedule
• Use of company vehicles or Mileage Reimbursement
• 401K Plan with Employer Match
• Paid Time Off: Nine company-paid holidays each year, plus an additional paid day off to celebrate your birthday.
• Employee Referral Program
• Employee Assistance Program

Education and Experience Requirements:

• An associate's degree in Accounting, Finance, Business Administration, or a related field is required.
• Two (2) or more years of billing, accounts receivable, or related accounting experience is required.
• Experience processing Medicaid, healthcare, insurance, or government claims is preferred.
• Experience researching and resolving claim denials and outstanding accounts receivable is preferred.
• QuickBooks Online or comparable accounting software experience is preferred.

Job Duties and Responsibilities:

• Prepare and process monthly locality invoices and Medicaid insurance claims accurately and within established filing deadlines.
• Review Medicaid remittance information and Explanation of Benefits/Remittance Advice to identify paid, denied, rejected, or underpaid claims.
• Research and resolve Medicaid claim denials and rejections, including correcting claims, obtaining necessary supporting information, and resubmitting claims within required timeframes.
• Follow up on outstanding locality invoices and Medicaid claims to facilitate timely reimbursement and reduce aging balances.
• Run, review, and analyze client reports to support accurate invoice and claim preparation, while verifying billing information for accuracy, completeness, appropriate authorization, and required supporting documentation before submission.
• Ensure compliance with applicable billing requirements, contractual terms, payer requirements, and established company procedures.
• Assist with accounts receivable and deposit reconciliations as part of the month-end close process.
• Maintain accurate billing and accounts receivable records in the accounting system
• Communicate effectively with localities, Medicaid representatives, and other payers to research and resolve billing, payment, and claim issues.
• Performs other related duties as assigned.

Knowledge and Skill Requirements:

• Working knowledge of accounts receivable, billing, payment posting, collections, and account reconciliation processes.
• Knowledge of Medicaid billing and claims processing requirements, including claim submission, denial resolution, and payment reconciliation.
• General understanding of GAAP and its application to accounts receivable and financial recordkeeping.
• Ability to analyze accounts receivable aging and effectively follow up on outstanding balances.
• Strong analytical and problem-solving skills with the ability to research and resolve billing and payment discrepancies.
• Excellent attention to detail and commitment to accuracy.
• Excellent verbal and written communication skills.
• Strong organizational and time-management skills with the ability to prioritize multiple deadlines.
• Ability to maintain appropriate confidentiality and comply with all HIPAA requirements.