Medical Biller / Payroll & Bookkeeping Specialist

Location: Israel Remote and in person 1-2 days a week
Type: Part-Time or Full-Time (based on experience and availability We are looking predominantly for american operating hours (IST 3pm-10pm) and some other times for work not involving interaction with the USA
Job Summary:
We are seeking a reliable and detail-oriented Medical Biller / Payroll & Bookkeeping Specialist to join our all-virtual mental health group practice. This role is critical to ensuring timely insurance reimbursement, clinician payroll processing, and financial oversight through spreadsheets and light bookkeeping. The ideal candidate has experience working in mental health billing, is organized, proactive, and communicates clearly with the rest of the administrative team.
Key Responsibilities:
Medical Billing
Submit and track insurance claims across multiple carriers (including Medicare/Medicaid, Aetna, BCBS, Cigna, Optum/UHC, etc.)
Ensure timely and accurate posting of EOBs and client payments
Identify, troubleshoot, and resolve claim denials and rejections
Monitor outstanding balances and follow up on aging claims (A/R reports)
Maintain accurate billing records and reconcile monthly payments
Communicate regularly with insurance representatives for eligibility, authorizations, and clarifications
Payroll & Bookkeeping
Process twice-monthly payroll for clinicians and admin staff (using Paychex or similar system)
Track sessions billed vs. sessions paid to inform payroll accuracy
Maintain records of bonuses, fee splits, supervision time, and overtime
Support reconciliation of incoming payments and bank transactions
Prepare financial reports and spreadsheets related to billing, payroll, or income trends
Practice Support
Coordinate with the Office Manager on clinician schedules and missed sessions
Alert the team to any underbilling, clinician documentation gaps, or incorrect coding
Maintain spreadsheets for KPI tracking (e.g., billed vs. paid sessions, no-show rates, insurance mix)
דרישות התפקיד
Qualifications:
8+ years of experience in medical billing (preferably mental health)
Familiarity with EHR systems (e.g., TherapyNotes, SimplePractice, or equivalent)
Proficiency in Excel/Google Sheets
Experience processing payroll and/or using payroll platforms like Paychex
Strong communication and problem-solving skills
High attention to detail, self-driven, and deadline-oriented
HIPAA compliant and understands client confidentiality