Medical Accounts Payable & Billing Specialist

This is a dual-function position that keeps our financial operations running accurately and on time.

You will manage accounts payable and expense tracking in QuickBooks, run payroll in ADP, and

handle NC Medicaid and DME (Durable Medical Equipment) billing through NC Tracks and our

internal billing system.

Billing follows a monthly cycle — supplies are delivered on the first week of every month, and billing

runs from approximately the 8th–10th of each month over roughly a week at 2–3 hours per day.

Outside of billing periods, the role focuses on accounts payable, payroll, and ongoing claim follow-

up.

This role requires someone who is proactive, highly organized, and confident communicating with

case managers, insurance payers, and internal staff. Nothing can fall through the cracks.

Key Responsibilities

• Manage accounts payable and expense tracking in QuickBooks
• Run and manage payroll using ADP
• Submit monthly DME and supply billing through NCTracks (NC Medicaid portal) and internal

billing system

• Verify patient eligibility and obtain prior authorizations before supplies are delivered
• Review and resolve claim denials — including authorization issues, eligibility errors, and

overbilling corrections

• Track active service units (e.g., Lifelines) to prevent overbilling or paying for inactive

accounts

• Coordinate with case managers and payers to resolve authorization and billing issues
• Verify CNA hours against the company’s time-tracking system
• Reconcile accounts receivable and support general office financial operations

What We Are Looking For

• Proficiency in QuickBooks — required
• Experience with ADP payroll or comparable payroll software
• NC Medicaid billing experience, ideally including NCTracks
• DME billing experience: eligibility verification, prior authorizations, HCPCS codes, and denial

management

• Strong organizational skills — ability to track multiple open claims and never let tasks sit idle
• Outgoing, people-oriented communicator — this role involves regular contact with case

managers, vendors, and staff

• Ability to work independently after initial training
• Detail-oriented with a strong sense of accountability — billing errors have direct financial

consequences

• 1–3 years of experience in accounts payable, medical billing, or a related financial role

(entry to mid-level considered)

What We Offer

• $23–$24 per hour
• Full-time, stable position with consistent hours
• Early Friday end time — 2:00 PM (Paid for full workdays)
• Supplemental dental and vision coverage
• 10 PTO days per year
• Paid holidays include Christmas, New Year’s, Thanksgiving, and July 4 th .
• 401(k) plan available
• Hands-on training provided in a supportive small-team environment

Pay: $23.00 - $24.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person