Stealth HealthTech Startup
Client Billing Specialist
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About the Company
We’re building infrastructure that makes healthcare innovation easier. Our customers already serve 3+ million patients and manage $15+ billion in annual medical spend. Today, we work with leading healthcare groups backed by top Silicon Valley investors such as Sequoia, General Catalyst, Y Combinator, Kleiner Perkins, Stanford, Khosla Ventures, and others. Our mission is to enable more innovation in healthcare—so more patients receive affordable care.
About the Team
Our leadership previously founded and led a national digital health company (>$15M raised), with a team of 100+ employees across the US and that sold to a 1,000+-person incumbent. We’re a tight-knit team that’s driven to move fast and take on some of the biggest problems in healthcare and ultimately improve patient lives.
About the Role
As our business grows, we’re looking for a Client Billing Specialist to help new healthcare groups launch successfully with our platform and operations.
In this role, you'll handle the full lifecycle of client billing. You'll make sure invoices go out accurately, payments are tracked, and finance operations run cleanly. You'll partner cross-functionally on billing questions, payment plans, and disputes — and help identify and resolve issues before they escalate.
This role is ideal for someone who is detail-obsessed, comfortable navigating complex billing situations, and energized by building cleaner financial processes.
What You’ll Own:
- Generate, review, and send accurate client invoices based on contract terms and service details.
- Run the full collections cycle, including timely follow-ups, payment plan coordination, and partnering with Client Success on dispute resolution.
- Maintain accurate, audit-ready billing and finance records.
- Surface payment risk early and partner cross-functionally on resolution.
- Support special billing situations including payment plans, scope changes, and client transitions.
- Identify operational bottlenecks in the billing process and contribute to automation and workflow improvements over time.
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Key Performance Indicators
Your performance in this role will be measured across core operational metrics:
- Invoice accuracy — % of invoices issued without need for correction or re-issue
- Invoice turnaround time — speed from request to delivery
- Collections performance — average days to payment and % of invoices collected within terms
- Records accuracy — completeness and timeliness of finance and billing records
90-Day Expectations
- 30 days: Already doing the work — drafting/sending invoices, running collections, fielding CS billing questions. No more shadowing-only phase.
- 30–60 days: Full portfolio ownership + first process improvement shipped (this used to be a 90-day goal).
- 60–90 days: Driving meaningful improvements and handling complexity independently.
About You
Core Experience
- 2-4 years of experience in billing operations, finance operations, AR/AP, accounting, or similar roles, where you've owned the end-to-end invoicing and collections cycle.
- Strong attention to detail — you catch errors before they go out.
- Comfortable with complex billing scenarios (tiered pricing, proration, deposits, payment plans, disputes) and translating contract terms into accurate invoices.
- Excellent written and spoken communication — you can hold a firm but professional collections conversation and explain billing clearly to clients.
- Experience with modern billing and payment platforms (e.g. Stripe, Ramp, Mercury), strong spreadsheet skills, and comfort working across CRM and ticketing tools.
What You Bring
- Energy and drive; you have a hunger for self-improvement and want to be around the most talented teammates who push you to do so. (Kobe said it best.)
- Excited by a fast-paced, startup culture where you’ll navigate ambiguity and solve big problems, with very high autonomy.
- Talent for identifying process improvement opportunities and creative ways to better structure operations.
- Interest in working in healthcare and helping healthcare innovation flourish.
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What We Offer
- Highly competitive salary and stock option grants (we want you to share in our growth).
- Compassionate, fun, and mission-driven culture of excellence and innovation. (We help companies bring new life-changing therapies into the world.)
- Many growth and advancement opportunities (company is regularly doubling, so there are many opportunities to step up).
- Work from home, remote job, with flexibility.
- Paid holidays and vacation time; paid sick time.
- HMO coverage; we prioritize your health and well-being.
- Culture of mentorship, learning, independence, and critical thinking.
This role operates in Eastern Time (EST) hours.
Tools We Use
- Gmail – Client communication and coordination with internal and external stakeholders
- Slack – Real-time communication and collaboration across teams
- Notion – Internal knowledge base, documentation, and operational playbooks
- Asana – Project management and tracking onboarding workflows and milestones
- HubSpot – Customer relationship management and client lifecycle tracking
- Quo (formerly OpenPhone) – Phone communication with clients and partners
- 1Password – Secure credential and access management across tools and systems
- Stripe – Payment processing for ACH, credit card, and recurring billing
- Mercury – Banking and payment operations
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