Recruitment #19-P2-2025


Our mission at Loudoun County’s Department of Mental Health, Substance Abuse and Developmental Services (MHSADS) is to connect individuals and their families with person-centered, recovery-oriented services and supports in partnership within the Loudoun community.

Job Description

MHSADS is seeking a high energy, customer service oriented Medical Billing Specialist for an opportunity within Business Operations.

The ideal candidate will have a thorough knowledge of the principles, methods and practices of accounts receivables; considerable medical billing experience; strong analytical skills; be team oriented with a performance driven work style and have an intermediate skill level in use of Microsoft Office systems.

Primary responsibilities include but are not limited to:

  • Maintaining the payer billing modalities and benefit plan tables and understanding and correct usage of these rules
  • Payment entry and posting, verify receipt accountability and posting to client accounts
  • Processing Medicaid, third party insurers and other healthcare claims

Job Requirements

  • Any combination of education and experience equivalent to graduation from High School and minimum 4 years of experience in accounting related field including progressive experience in manual and automated accounts receivable systems, including the billing, collecting and processing of reimbursements.

Special Requirements


  • Medical Billing experience 
  • Experience with Oracle based systems
  • Knowledge of electronic health records (EHR) Medicaid regulations, healthcare terminology, and standard service coding systems such as ICD-10 and HCPCs; and revenue coding

Post Conditional Offer Contingencies

Employment is contingent upon successful completion of a criminal background check, credit check, driving record check and TB test. Must have a valid driver’s license in Virginia or regional state of residence.


Loudoun County Regular Full-time Employees are eligible for full benefits including but not limited to the following as a part of a total rewards package!
  • Retirement from the Virginia Retirement System (VRS)
  • Annual leave
  • Sick leave
  • Annual Paid Holidays
  • Group Health Plan
  • Group Life Insurance
  • Exceptional Performance Recognition
  • Credit Union Membership
  • Employee Assistance Program (EAP)
  • Education and Career Development