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Medical Bookkeeping Jobs (NOW HIRING)

White Tiger Connections

Bookkeeper

Wilmington, DE · Remote

$80K - $120K/yr

Requirements * 5-7 years of bookkeeping experience, preferably within a tax or public accounting environment. * Experience working with professional service firms such as legal or medical practices ...

CFS

Bookkeeper - Atlanta, GA

Atlanta, GA

$60K - $65K/yr

Strong benefits package including medical, dental, 401(k) match, and generous PTO * Business casual ... Proven bookkeeping or general accounting experience * Strong QuickBooks experience required

CFS

Bookkeeper

Fresno, CA

$60K - $68K/yr

Competitive medical, dental, and vision benefits * A role designed for someone seeking long‑term career security , not short‑term churn Key Responsibilities for the Bookkeeper: * Maintain and ...

Addison Group

Bookkeeper

Oklahoma City, OK · On-site

$65K/yr

Manage day-to-day bookkeeping functions, including accounts payable and accounts receivable ... Medical, dental, and vision insurance * 401(k) with company match * Paid time off and paid holidays

CFS

Bookkeeper

Boca Raton, FL

Medical, Dental, Vision and 401k match, 2 weeks vacation * Manufacturing company with 30 years of proven success and long tenured employees! Responsibilities of the Bookkeeper: * Preparing journal ...

Stardom Employment Consultants

Bookkeeper

Fresno, CA · On-site

$70K - $75K/yr

... bookkeeping functions to ensure accurate financial records and smooth business operations. This ... Benefits package may include medical, dental, vision, paid time off, and paid holidays

TWO MEN AND A TRUCK®

Bookkeeper

Peoria, IL · On-site

... medical, vision, Paid Holiday's, Paid Time Off * Friendly, fun, casual work environment * Opportunities for career growth * Partial work from home Job Responsibilities * Bookkeeping using Xero

Manhattan Motorcars

Bookkeeper

New Rochelle, NY

$29/hr

If you have experience with bookkeeping, accounts payable, or accounts receivable--and want a ... Medical, dental, and vision insurance * 401(k) with company contribution * Paid vacation, holidays ...

Local Professional Firm

Be Seen First

Bookkeeper

Saint Augustine, FL · On-site

$25.50 - $28.50/hr

Minimum 5 years of recent bookkeeping experience Experience working under experienced accountants ... Medical benefits Paid sick leave and vacation Friendly small-office environment Why You'll Like ...

Manhattan Motorcars

Bookkeeper

New Rochelle, NY

$29/hr

If you have experience with bookkeeping, accounts payable, or accounts receivable--and want a ... Medical, dental, and vision insurance * 401(k) with company contribution * Paid vacation, holidays ...

Manhattan Motorcars

Bookkeeper

New Rochelle, NY · On-site

$20 - $29/hr

If you have experience with bookkeeping, accounts payable, or accounts receivable-and want a ... Medical, dental, and vision insurance * 401(k) with company contribution * Paid vacation, holidays ...

Local Professional Firm

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Bookkeeper

Saint Augustine, FL · On-site

$25.50 - $28.50/hr

Minimum 5 years of recent bookkeeping experience Experience working under experienced accountants ... Medical benefits Paid sick leave and vacation Friendly small-office environment Why You'll Like ...

Local Professional Firm

Be Seen First

Bookkeeper

Palm Coast, FL · On-site

$25.50 - $28.50/hr

Minimum 5 years of recent bookkeeping experience Experience working under experienced accountants ... Medical benefits Paid sick leave and vacation Friendly small-office environment Why You'll Like ...

Local Professional Firm

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Bookkeeper

Jacksonville, FL · On-site

$25.50 - $28.50/hr

Minimum 5 years of recent bookkeeping experience Experience working under experienced accountants ... Medical benefits Paid sick leave and vacation Friendly small-office environment Why You'll Like ...

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Medical Bookkeeping information

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$12

$24

$35

How much do medical bookkeeping jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for medical bookkeeping in the United States is $24.31, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $27.64 per hour, depending on experience, location, and employer.

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.

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 specialized process of recording, organizing, and managing financial transactions related to healthcare organizations or medical practices. This includes tracking patient billing, insurance claims, payments, expenses, and payroll. Medical bookkeepers ensure that all financial records are accurate and compliant with healthcare regulations, helping practices maintain financial health and prepare for audits. Their work is crucial for smooth office operations and proper reimbursement from patients and insurers.

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.
More about Medical Bookkeeping jobs
What cities are hiring for Medical Bookkeeping jobs? Cities with the most Medical Bookkeeping job openings:
What states have the most Medical Bookkeeping jobs? States with the most job openings for Medical Bookkeeping jobs include:
What job categories do people searching Medical Bookkeeping jobs look for? The top searched job categories for Medical Bookkeeping jobs are:
Medical Bookkeeping jobs near you
Infographic showing various Medical Bookkeeping job openings in the United States as of June 2026, with employment types broken down into 4% As Needed, 2% Full Time, 62% Part Time, 1% Temporary, 30% Contract, and 1% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $50,573 per year, or $24.3 per hour.

Bookkeeper

White Tiger Connections

Wilmington, DE • Remote

$80K - $120K/yr

Full-time

PTO

Posted 10 days ago

Job description

This is a remote position.

About the Firm

Our client, a well-established wealth management firm with a robust in-house tax practice stemming from a large CPA firm acquisition, is seeking an experienced Bookkeeper to join their professional team. This position is ideal for a hands-on accounting professional who thrives in a production-focused environment and enjoys managing multiple client engagements with precision and autonomy.

About the Role

The Bookkeeper plays a critical role in managing the firm’s monthly client accounting engagements from start to finish. This position is designed for a plug-and-play professional who can take ownership of multiple bookkeeping clients, ensure accuracy in financial reporting, and operate independently within a structured accounting environment.

The ideal candidate is highly detail-oriented, comfortable managing multiple deadlines, and confident working within QuickBooks Desktop and QuickBooks Online at a power-user level. This position is best suited for an experienced bookkeeping professional who thrives in a fast-paced, client service environment and takes pride in delivering accurate, timely, and organized financial records.

Key Responsibilities

  • Manage a portfolio of monthly bookkeeping clients (up to 15–20 at capacity over time).

  • Take each client engagement from start to finish on a monthly basis.

  • Perform full-cycle bookkeeping, including transaction coding, bank and credit card reconciliations, and general ledger maintenance.

  • Prepare and finalize monthly financial statements.

  • Review work and ensure accuracy of account classifications and reporting.

  • Communicate with clients to gather necessary documentation and clarify transactions (initially limited client-facing responsibility, with opportunity to grow into a more client-facing role over time).

  • Maintain organized and accurate financial records in compliance with firm standards and accounting best practices.

  • Utilize QuickBooks Desktop and QuickBooks Online extensively as a power user.



Requirements

  • 5–7 years of bookkeeping experience, preferably within a tax or public accounting environment.

  • Experience working with professional service firms such as legal or medical practices preferred.

  • Strong understanding of full-cycle bookkeeping, account reconciliations, journal entries, and financial statement preparation.

  • Advanced proficiency in QuickBooks Desktop and QuickBooks Online required.

  • Strong organizational skills and ability to manage multiple client deadlines.

  • Ability to step into the role with minimal training and operate independently.

  • Located in EST time zone



Benefits

  • Comprehensive benefits package and Paid Time Off (PTO).

  • A collaborative, team-oriented environment that values autonomy, precision, and professional growth.