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Medical Bookkeeping Jobs in Reston, VA (NOW HIRING)

Sight and Sound Systems

Full-Charge Bookkeeper

Dulles, VA · On-site

$60K - $65K/yr

Reconcile company credit cards General Accounting & Bookkeeping * Maintain accurate financial ... Medical, vision, and dental insurance plans * 401k with company match * Employee Rewards Program

Compass Group

BOOKKEEPER ADMINISTRATOR

Fairfax, VA · On-site

$27/hr

* We are hiring immediately for a full time BOOKKEEPER ADMINISTRATOR position. * Location : Inova ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...

Compass Group

BOOKKEEPER ADMINISTRATOR

Fairfax, VA · On-site

$27/hr

* We are hiring immediately for a full time BOOKKEEPER ADMINISTRATOR position. * Location : Inova ... Medical, Dental, Vision, Life Insurance/AD, Disability Insurance, Commuter Benefits, Employee ...

NEXT Oncology

SCHEDULER

Fairfax, VA

$17.25 - $22/hr

The Medical Scheduler will schedule all routine and non-routine medical services with various local ... bookkeeping tasks Obtain and log insurance information Order supplies and maintain inventory ...

Scout Space

Controller

Reston, VA · Remote

Manage the relationship with the company's external bookkeeping firm while developing the ... Medical, Dental, Vision Insurance * 401k Matching * Health Savings Account, Flexible Spending ...

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All JobsMedical Bookkeeping JobsMedical Bookkeeping Jobs in Reston, VA

Medical Bookkeeping information

See Reston, VA salary details

$13

$25

$37

How much do medical bookkeeping jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for medical bookkeeping in Reston, VA is $25.30, according to ZipRecruiter salary data. Most workers in this role earn between $20.53 and $28.75 per hour, depending on experience, location, and employer.

What healthcare jobs pay over $100k per year?

Medical bookkeeping roles typically do not pay over $100,000 annually; however, healthcare positions such as physicians, surgeons, anesthesiologists, and healthcare executives often earn six-figure salaries. Advanced certifications, specialized skills, and experience in management or clinical practice are common factors for higher pay in healthcare careers.

What are the key skills and qualifications needed to thrive as a Medical Bookkeeper, and why are they important?

To thrive as a Medical Bookkeeper, you need a solid understanding of accounting principles, medical billing, and healthcare regulations, often supported by experience or coursework in bookkeeping or healthcare administration. Familiarity with medical billing software, electronic health records (EHR) systems, and spreadsheet tools like Excel is typically required. Strong attention to detail, organizational skills, and the ability to maintain confidentiality help you stand out in this position. These skills and qualities are essential to ensure accurate financial records, compliance with healthcare laws, and the smooth financial operation of medical practices.

Is AI replacing bookkeepers?

Medical bookkeeping involves managing financial records for healthcare providers, and while AI tools can automate tasks like data entry and reconciliation, human oversight remains essential for accuracy and compliance. AI can enhance efficiency but is unlikely to fully replace bookkeepers in the near future, as complex judgment and industry-specific knowledge are still required.

How much do medical bookkeepers make?

Medical bookkeepers typically earn a median annual salary of around $40,000 to $50,000, depending on experience, location, and certifications. Salaries can vary based on the size of the healthcare facility and the complexity of the billing and coding tasks involved.

What is the difference between Medical Bookkeeping vs Medical Billing?

AspectMedical BookkeepingMedical Billing
Primary RoleMaintains financial records, manages accounts, and handles bookkeeping tasksProcesses insurance claims, submits bills, and follows up on payments
Required SkillsFinancial record keeping, data entry, basic accountingInsurance coding, claim submission, payment posting
Work EnvironmentMedical offices, clinics, healthcare accounting firmsMedical offices, billing companies, healthcare providers
CertificationsBookkeeping or accounting certifications often preferredMedical billing certifications like CPC or CBCS often required

Medical Bookkeeping focuses on maintaining accurate financial records and managing accounts, while Medical Billing specializes in submitting insurance claims and ensuring payments are received. Both roles are essential in healthcare finance but serve different functions within the revenue cycle.

What is medical bookkeeping?

Medical bookkeeping is the process of recording, managing, and reconciling financial transactions for healthcare providers, including billing, invoicing, and insurance claims. It requires knowledge of medical codes, billing software, and healthcare regulations to ensure accurate financial records. Professionals in this field often work in medical offices or accounting firms specializing in healthcare.

How does a medical bookkeeper typically interact with healthcare practitioners and administrative staff?

Medical bookkeepers frequently collaborate with both healthcare practitioners and administrative staff to ensure accurate financial records and compliance with industry regulations. They often communicate with medical billing specialists, office managers, and sometimes directly with physicians to resolve discrepancies, verify insurance payments, and manage patient billing issues. This collaborative environment requires strong communication skills and the ability to translate complex financial information into actionable steps for non-financial team members. Successful medical bookkeepers are proactive in maintaining transparency and streamlining processes between financial and clinical teams.
What are popular job titles related to Medical Bookkeeping jobs in Reston, VA? For Medical Bookkeeping jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Medical Bookkeeping jobs in Reston, VA look for? The top searched job categories for Medical Bookkeeping jobs in Reston, VA are:
What cities near Reston, VA are hiring for Medical Bookkeeping jobs? Cities near Reston, VA with the most Medical Bookkeeping job openings:
Medical Bookkeeping jobs near you
Infographic showing various Medical Bookkeeping job openings in Reston, VA as of July 2026, with employment types broken down into 18% Locum Tenens, 62% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $52,614 per year, or $25.3 per hour.

Bookkeeper (DCAA & SCA-H&W)

AIRPORT METRO CONNECTION

College Park, MD • On-site

$70K - $80K/yr

Full-time

Medical, Dental, Life, Retirement, PTO

Posted 12 days ago

Job description

Description:

Airport Metro Connection, Inc. (AMC) is a federally contracted non-emergency medical transportation (NEMT) company operating passenger buses and vans in the DMV area. We transport patients to medical appointments, nursing homes, and transit connections under federal service contracts subject to the McNamara-O’Hara Service Contract Act (SCA). Our drivers operate under FMCSA regulations, and our back-office must match that same level of compliance rigor.


Position Overview

We are seeking an experienced Bookkeeper with a demonstrated understanding of DCAA federal contracting requirements — specifically the McNamara-O’Hara Service Contract Act (SCA) and its Health & Welfare (H&W) fringe benefit compliance obligations.

Candidates without prior federal contracting experience will not be considered.


Key Responsibilities

Bookkeeping & Finance (Federal Contracting Environment)

  • Record daily financial transactions and maintain the general ledger in QuickBooks; ensure the chart of accounts correctly segregates contract-specific costs as required under federal cost accounting standards (DCAA).
  • Perform monthly bank reconciliations and prepare P&L statements, balance sheet summaries, and cash flow reports for the CEO.
  • Track contract expenditures against budget; maintain documentation supporting allowable and allocable costs in accordance with federal contracting requirements.
  • Manage accounts payable and receivable; reconcile broker and government agency remittances; pursue outstanding balances.
  • Process federal contract invoices in federal agencies portals.
  • Process company billing.
  • Ability to setup up job codes, cost codes, and job classes.
  • Payroll & SCA Health and Welfare (H&W) Compliance

This role requires hands-on knowledge of SCA compliance. Our drivers and service employees are covered under federal Wage Determinations (WDs) issued by the U.S. Department of Labor (DOL). The bookkeeper must correctly administer and document SCA obligations in every payroll cycle.

  • Process bi-weekly payroll for all covered service employees; apply the applicable SCA Wage Determination (WD) minimum hourly rates by job classification and locality as specified in each federal contract
  • Calculate, track, and document the SCA Health & Welfare (H&W) fringe benefit obligation on a per-employee, per-hour-paid basis (current DOL H&W rate: $5.55/hour effective July 7, 2025, per DOL Wage and Hour Division guidance); ensure no employee’s H&W obligation falls below the WD-specified minimum.
  • Maintain detailed payroll records for each SCA-covered employee documenting hours worked, wages paid, H&W contributions made, and benefit plan participation, sufficient to demonstrate compliance in the event of a DOL Wage and Hour Division investigation.
  • Ensure SCA-required “Notice to Employees Working on Government Contracts” is posted at the worksite; maintain a copy in the compliance file.
  • Coordinate with the company’s benefits provider to confirm that H&W fringe benefit plan costs meet or exceed per-employee WD obligations; document any cash-in-lieu payments where applicable.
  • Retain payroll and SCA compliance records for the period required by the applicable contract and federal regulations; SCA records are generally required for three years.
Requirements:

Qualifications Required:

  • Bachelor’s degree in Accounting, Business, Finance or similar field.
  • Minimum 5 years of bookkeeping or accounting support experience
  • Demonstrated knowledge of the McNamara-O’Hara Service Contract Act (SCA), including Wage Determination (WD) application and Health & Welfare (H&W) fringe benefit compliance
  • Expert in QuickBooks (Online) and Microsoft Excel (mandatory)
  • Experience processing payroll using payroll software (QuickBooks Online)
  • Familiarity with federal recordkeeping requirements for government contractors (DOL Wage and Hour Division compliance, SCA record retention standards, and DCAA)
  • Strong attention to detail, ability to meet concurrent deadlines, and the ability to work independently
  • Ability to maintain strict confidentiality of financial and personnel

Preferred (not required):

  • Prior experience working as a bookkeeper for an FMCSA-regulated transportation company or federal service contractor
  • Familiarity with 49 CFR Part 391 driver qualification file requirements and DOT compliance recordkeeping


Compensation & Benefits

  • $70,000 – $80,000 per year, based on experience and qualifications
  • Life, AD&D, STD, LTD, Health and dental insurance
  • Paid time off (PTO) and paid holidays per company policy
  • Workers’ compensation coverage
  • Retirement plan enrollment

How to ApplySubmit your resume and a brief cover letter specifically describing your DCAA & SCA compliance experience, including the federal contracts you supported and how you managed H&W fringe benefit obligations, to hrsupport@amcbus.com or apply directly through Indeed. Applications address QuickBooks online and DCAA experience will not be reviewed. No phone calls, please.Airport Metro Connection is an Equal Opportunity Employer. College Park, MD HRSupport@amcbus.com