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As of Aug 29, 2026, the average hourly pay for overnight chiropractic front office in the United States is $17.14, according to ZipRecruiter salary data. Most workers in this role earn between $14.90 and $18.75 per hour, depending on experience, location, and employer.

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Infographic showing various Overnight Chiropractic Front Office job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $35,651 per year, or $17.1 per hour.

Full-Time Chiropractic Front Office & Billing Specialist

POSITIVELY CHIROPRACTIC & DYNA

Annandale, VA • On-site

$24/hr

Full-time

PTO

Posted yesterday

New


Job description

Positively Chiropractic | Annandale, VA

Join Our Busy, Thriving, Family-Focused Practice!
Positively Chiropractic is a well-established, busy, and growing multidisciplinary chiropractic practice looking for an experienced, dependable, energetic full-time Chiropractic Front Office & Billing Specialist to join our team.
We are a family-oriented practice that values excellent patient care, teamwork, professionalism, positivity, and creating a welcoming experience for every patient who walks through our doors.
This is an important position within our practice. The ideal candidate is organized, confident, detail-oriented, comfortable with chiropractic/medical insurance, and able to keep the office running smoothly while providing exceptional patient service.
What We're Looking For
Required:

  • Minimum 3 years of experience in a chiropractic or medical office

  • Chiropractic billing and/or insurance experience
  • Comfortable working in a busy, fast-paced environment
  • Strong organizational and multitasking skills
  • Excellent communication and customer-service skills
  • Positive, friendly, professional attitude
  • Ability to work independently and problem-solve
  • Dependable and willing to take ownership of responsibilities
  • Comfortable learning and efficiently navigating Eclipse EMR

  • Willingness to work 1–2 Saturdays per month

  • Ability to serve as the office closer (10AM - 6PM or 6:30PM) 

Primary Responsibilities
Patient Experience & Front Desk

  • Be the primary patient greeter and create a warm, welcoming environment
  • Answer phones with a friendly, positive, professional voice
  • Receive calls, schedule appointments, reschedule and cancel appointments
  • Check patients in and out
  • Collect payments for all services rendered
  • Send payment links when needed
  • Clearly explain patient balances and billing information
  • Serve as the primary patient liaison between patients, providers, and the office
  • Maintain accurate patient information and communication in the EMR
Scheduling & Patient Flow

  • Maintain accurate provider schedules and optimize appointment flow
  • Work toward keeping providers' schedules approximately 80% booked

  • Maintain and utilize the cancellation list
  • Help coordinate efficient patient flow throughout the office
  • Assist doctors and other providers with patient flow and office needs
  • Update schedules promptly based on phone calls, texts, emails, and voicemail messages
Insurance & Billing

  • Verify patient insurance benefits
  • Obtain claim authorizations and ensure referrals are obtained when required
  • Understand and communicate patient financial responsibility
  • Navigate Eclipse EMR efficiently to review balances and billing information
  • Send patient bills as needed
  • Assist with chiropractic billing and insurance-related responsibilities
  • Ensure accurate collection of payment for services rendered
Daily Office Operations

  • Complete and reconcile the Day Sheet

  • Check all emails, texts, Teams messages, and voicemail throughout the day
  • Before leaving each day, make sure all messages have been addressed and schedules updated appropriately
  • Upload X-rays into patient charts
  • Ensure required paperwork and identification are completed and collected
  • Maintain HIPAA compliance and patient confidentiality
  • Keep patient data current and accurate in the EMR
  • Purge/update data in Eclipse as needed
  • Keep front-office areas and personal work zone clean, organized and functioning efficiently
  • Assist other providers and staff whenever needed
Closing Responsibilities
As the office closer, you will be responsible for ensuring the practice is completely ready for the next business day, including:
  • Reconcile the Day Sheet
  • Confirm all payments and transactions are accurate
  • Review remaining emails, texts, Teams messages, and voicemails
  • Update schedules as necessary
  • Make sure patient communication has been addressed
  • Ensure the office is secure
  • Log out of all computers and systems
  • Make sure the office is organized and ready for the following day
Technology & Problem Solving
The successful candidate will become comfortable using our practice technology and systems, including:
  • Eclipse EMR

  • Hourmine

  • Zocdoc

  • Email and text communication systems
  • Insurance verification and billing platforms
We are looking for someone who doesn't simply identify a problem—but takes initiative to find a solution and communicates with the team when assistance is needed.
The Ideal Candidate
You are someone who:
  • Loves working with people
  • Enjoys being part of a close-knit team
  • Is naturally organized and detail-oriented
  • Can multitask without becoming overwhelmed
  • Takes pride in keeping a busy office running smoothly
  • Understands that the front desk sets the tone for the entire patient experience
  • Is comfortable discussing money, insurance, and patient balances professionally
  • Is proactive rather than waiting to be told what needs to be done
  • Has a strong work ethic and takes ownership of your responsibilities
  • Can maintain professionalism while working in a busy environment
  • Understands that great patient care includes great communication and great organization
Benefits
The following benefits are available to full-time employees after the initial three-month trial period:
  1. Paid Vacation: 2 weeks (14 days) of paid vacation per year.
  2. Paid Holidays: New Year’s Day, Memorial Day, 4th of July, Labor Day, Thanksgiving Day, Christmas Eve, and Christmas Day.
  3. Paid Sick Leave: 5 paid sick days per year. Additional sick leave after the 5 days have been used will be unpaid through the end of the year.
  4. Health Insurance Contribution: As Positively Chiropractic does not provide health insurance, full-time employees will receive $250 per month toward self-provided health insurance after 3 months of employment.
  5. SIMPLE IRA: After two year of employment, full-time employees may participate in the SIMPLE IRA plan through American Funds. The employer will match employee contributions up to 3% of each paycheck, subject to plan limitations.
  6. Pay Increase: A pay increase will be provided after successfully completing the initial three-month trial period.

Why Join Positively Chiropractic?
We are a busy, thriving, family-based multidisciplinary practice where chiropractic care works alongside other wellness and therapeutic services. Our team works together to provide patients with an exceptional experience from the moment they walk in until they leave.
If you are an experienced chiropractic or medical office professional who wants to become an important part of a positive, hardworking team, we would love to meet you!

Position: Full-Time Employee
Location: Annandale, VA
Schedule: Full-time; includes 1–2 Saturdays per month
Experience: 3+ years chiropractic or medical office experience required
Preferred: Chiropractic billing and insurance experience
To apply: Please submit your resume and tell us briefly why you would be a great fit for Positively Chiropractic.
Preferred Emails:
Rosa: rosanguyen0601@gmail.com
Ivenka: manager@posichiro.com