Accounts Receivable Specialist

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management within the DME sector. The position involves owning claims submission, AR follow-up, denials and appeals, patient billing support, and helping build scalable billing processes in a growing commercialization-stage environment. This role combines hands-on reimbursement operations with system optimization and SOP development to support efficient, compliant revenue workflows. 🗂️ Requirements: 3–5+ years of medical billing and Revenue Cycle Management experience, Experience within Durable Medical Equipment (DME) or HME industry, Knowledge of monthly rental billing and capped rental workflows, Strong understanding of HCPCS codes and ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience submitting electronic and paper claims to Medicare, Medicaid, and private payers, Ability to manage denials, appeals, and AR follow-up, Proficiency in billing systems and payer portals, Eligibility to work in the United States without visa sponsorship 📃 Skills: RCM, DME, HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, Niko, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity and help build processes where none exist. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and payer portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, relocation assistance is not offered.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on full-cycle medical billing and revenue cycle management within the DME/HME industry. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing support while helping build scalable billing processes. Ideal for an experienced medical billing professional who thrives in a fast-growing environment and can optimize reimbursement operations. 🗂️ Requirements: 3–5+ years medical billing and Revenue Cycle Management experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Strong understanding of HCPCS codes, Strong understanding of ICD-10 coding, Experience with CMNs and Prior Authorizations, Experience with electronic and paper claims submission, Ability to manage denials and appeals, Proficiency in billing systems, Proficiency in CRM systems, Experience with payer portals (e.g., Availity) 📃 Skills: HCPCS, ICD-10, CMN, PriorAuthorization, Medicare, Medicaid, DME, HME, NikoHealth, BrightTree, CRM, Availity, ERAs, EOBs 🏢 Description: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. SUMMARY OF ROLE: This is more than a billing role, it's an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we're looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you'll own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You'll work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce "days in AR." QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The "Startup" Mindset: You are comfortable with ambiguity. You don't just wait for a manual; you help write it. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The anticipated salary for this exempt position will be commensurate with experience, qualifications, and market factors and will be aligned with the established compensation range for the role. Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Fully remote Accounts Receivable Specialist role focused on end-to-end medical billing and revenue cycle management for a cardiac medical device company. The position owns claims submission, AR follow-up, denials and appeals, payment posting, and patient billing while helping build scalable billing processes. Ideal for an experienced DME billing professional comfortable with payer regulations, coding standards, and billing systems in a high-growth environment. 🗂️ Requirements: 3–5+ years medical billing and RCM experience, Experience in DME or HME industry, Knowledge of monthly rental billing and capped rentals, Understanding of HCPCS and ICD-10 coding, Experience with CMNs and prior authorizations, Ability to manage full-cycle insurance billing and AR, Proficiency in billing systems and payer portals, Eligibility to work in the United States 📃 Skills: HCPCS, ICD-10, CMN, RCM, DME, HME, Niko, BrightTree, CRM, Availity, Medicare, Medicaid 🏢 Description: SUMMARY OF ROLE: Element Science is seeking an Accounts Receivable Specialist to join our growing Revenue Cycle Management team. This is a fully remote position, with a preference for candidates located in the Central Time Zone to support cross-functional collaboration and operational coverage. This is more than a billing role; it is an opportunity to help build a critical function from the ground up. As Element Science continues to scale following commercialization of our innovative cardiac care technology, we are looking for a resourceful, hands-on professional who thrives in fast-paced, high-growth environments and enjoys solving complex problems. In this role, you will own the full lifecycle of claims management while helping design the processes, systems, and infrastructure that will support a world-class reimbursement and billing operation. You will work closely with internal teams and external partners to ensure timely claim resolution, optimize reimbursement outcomes, and contribute to the development of scalable best practices. RESPONSIBILITIES: Full-Cycle Insurance Billing & AR Management Claims Submission: Prepare and submit clean electronic and paper claims to various payers (Medicare, Medicaid, and Private Insurance). AR Follow-up: Monitor and aggressively pursue unpaid claims. Denials & Appeals: Investigate claim denials, gather necessary medical documentation, and draft persuasive appeals to secure reimbursement. Payment Posting: Accurately post insurance payments (ERAs/EOBs), patient payments, and contractual adjustments. Patient Account Management & Advocacy Statement Generation: Oversee the monthly patient billing cycle and ensure statements are accurate and easy to understand. Patient Support: Act as the primary point of contact for inbound calls regarding billing inquiries, insurance coverage, and payment processing. Financial Assistance: Review and process patient financial assistance applications, ensuring compliance with company policy and compassionate communication with those in need. Process Building & Strategic Insight SOP Development: Help create and document standard operating procedures (SOPs) for the billing department. Key Learnings: Identify trends in denials or payer behavior and provide feedback to the clinical and sales teams to improve documentation quality at the source. System Optimization: Assist in refining our billing software workflows to increase efficiency and reduce days in AR. QUALIFICATIONS: Experience: 3–5+ years of experience in medical billing and RCM, specifically within the Durable Medical Equipment (DME) or HME industry. Rental Knowledge: Familiarity with the unique complexities of monthly rental billing, capped rentals, and equipment return workflows. Payer Expertise: Strong understanding of HCPCS codes, ICD-10 coding, CMNs (Certificates of Medical Necessity), and Prior Authorizations. The Startup Mindset: Comfortable with ambiguity and able to help build processes. Communication: Exceptional phone etiquette and the ability to explain complex insurance concepts to patients with empathy and clarity. Tech Savvy: Proficiency in Billing Systems (Niko Health or BrightTree a plus), CRM, and Payer Portals such as Availity. BENEFITS: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Staff Manufacturing Engineer role focused on developing, validating, and transferring manufacturing processes for a wearable medical device into production. The position drives process improvements, supports production goals, and ensures compliance in a regulated medical device environment. It involves cross-functional collaboration to implement robust, scalable, and high-quality manufacturing systems. 🗂️ Requirements: B.S. in Mechanical, Biomedical or Industrial Engineering, Minimum 10 years experience in medical device and electro-mechanical manufacturing, Strong SolidWorks proficiency for fixtures, tooling and equipment design, Experience with Lean and Six Sigma methodologies, Proficiency in statistical analysis and root cause investigation, Experience in regulated medical device environments, Expertise in manufacturing processes, automation and materials, Experience with adhesives and electronics 📃 Skills: SolidWorks, SixSigma, Lean, Statistics, Manufacturing, Automation, Electromechanical, Adhesives, Electronics, RootCauseAnalysis, ProcessValidation, Tooling, GD&T 🏢 Description: Element Science, Inc. is a medical device and digital health company redefining how patients with heart disease are monitored and treated as they transition from the hospital to the home. Our mission is to improve outcomes for patients at risk of life-threatening cardiac events through innovative solutions at the intersection of clinical-grade wearables, advanced algorithms, and therapy delivery. We are entering an exciting phase of growth as we move from development into early commercialization. Our approach combines hardware, software, and services to deliver a more personalized and seamless patient experience—designed with both patients and clinicians in mind. Our product, a wearable patch defibrillator, is designed for patients with a temporary elevated risk of sudden cardiac arrest, addressing a significant and underserved population of over 500,000 patients in the U.S. By focusing on comfort, usability, and clinical effectiveness, we aim to transform the standard of care during this critical period. Headquartered in the San Francisco Bay Area, Element Science is backed by leading healthcare and technology investors, including Third Rock Ventures, GV (Google Ventures), Deerfield Healthcare, Qiming Venture Partners USA, Cormorant Asset Management, and Invus Opportunities.SUMMARY OF ROLE: Staff Manufacturing Engineer drives and provides support of products, processes, and equipment to achieve development and/or production goals. The engineer develops manufacturing processes to implement innovative improvements. The engineer works cross-functionally to validate processes and transfer new products into manufacturing. RESPONSIBILITIES: Support process development and validation activities across various manufacturing product lines Design, develop, test and implement manufacturing process systems to ensure robust production processes, human work factors and quality control Design, develop and propose improvements for manufacturing process, equipment and systems using knowledge of engineering principles, industry standards and working design to meet production requirements, performance, quality, and safety standards Employ six sigma tools and scientific and statistical expertise to perform root cause and correlation analysis to identify and develop corrective actions for solving product and process failures Transfer new products & processes into manufacturing, including support of R&D builds Create, update, and maintain manufacturing documentation that meets compliance requirements Partner with outsourced vendors and suppliers to support production and resolve technical issues, working closely with MPI to establish and onboard new vendors Support manufacturing engineering efforts to meet production goals including resolution of non-conformances and line issues Perform other duties, as assigned QUALIFICATIONS: B.S. in Mechanical, Biomedical or Industrial Engineering preferred Comprehensive SolidWorks knowledge with experience creating manufacturing fixtures, tooling, and equipment models Minimum 10 years of experience in medical device industry and electro-mechanical device manufacturing preferred Experience with Lean/Six Sigma tools and proficiency with statistical methodologies preferred Demonstrated technical acumen in navigating regulated environments Excellent interpersonal, writing, and verbal communication skills Demonstrated ability to balance multiple priorities against aggressive deadlines while maintaining a high degree of quality Strong judgment & decision-making ability Excellent problem-solving skills, ability to diagnose issues and provide solutions Experience with adhesives and electronics preferred and background with medical device disposables and capital equipment a plus Strong technical expertise with manufacturing processes, automation, and materials BENEFITS: Element Science offers a very competitive salary and benefits package including, but not limited to: Stock Options 90% employer-paid medical, dental, and vision insurance Company-paid Basic Life Insurance 401(k) retirement plan (Traditional and Roth) Competitive Paid Time Off Paid Holidays FSA (Flexible Spending Accounts) HSA (Health Savings Account) Employee Assistance Program through PEO The salary for this exempt-level position will be based on experience and qualifications within an established pay range. Pay range: $150,000 - $170,000 Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on an employee's or applicant's race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other non-merit-based factors prohibited by local, state, or federal law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance at Element Science.

🏢 Summary: The Manager, Quality Systems leads and continuously improves the Quality Management System for a medical device company, ensuring compliance with FDA, ISO 13485, EU MDR, CHAP, and DME requirements. The role oversees document control, CAPA, nonconformance, audits, training, and regulatory activities while serving as deputy management representative during inspections. This position drives audit readiness, regulatory compliance, and cross-functional quality initiatives in a regulated manufacturing environment. 🗂️ Requirements: 5+ years Quality Assurance experience in medical device industry, 2+ years people management experience, Knowledge of ISO 13485, Knowledge of 21 CFR Part 820, Knowledge of FDA Quality System Regulations, Knowledge of EU MDR requirements, Experience in regulated manufacturing environments, Experience with eQMS systems, Experience with PLM systems, Experience managing CAPA and nonconformance processes, Experience conducting internal and external audits, Experience working with regulatory agencies (FDA, BSI, CHAP), Ability to manage DME compliance requirements 📃 Skills: ISO13485, 21CFR820, FDA, EUMDR, eQMS, PLM, CAPA, Audit, Nonconformance, DME, CHAP, BSI 🏢 Description: Element Science, Inc. is a medical device and digital health company redefining how patients with heart disease are monitored and treated as they transition from the hospital to the home. Our mission is to improve outcomes for patients at risk of life-threatening cardiac events through innovative solutions at the intersection of clinical-grade wearables, advanced algorithms, and therapy delivery. We are entering an exciting phase of growth as we move from development into early commercialization. Our approach combines hardware, software, and services to deliver a more personalized and seamless patient experience—designed with both patients and clinicians in mind. Our product, a wearable patch defibrillator, is designed for patients with a temporary elevated risk of sudden cardiac arrest, addressing a significant and underserved population of over 500,000 patients in the U.S. By focusing on comfort, usability, and clinical effectiveness, we aim to transform the standard of care during this critical period. SUMMARY OF ROLE: The Manager, Quality Systems is responsible for day-to-day operation and continuous improvement of the Quality System. The role is responsible for Document Control, Training Program, Change Control, Internal & External Audit Program, Management Review, Nonconformance management and CAPA management. The Manager, Quality Systems serves as deputy management representative representing the organization in internal and external audits. This role serves as co-system administrator for eQMS and works with cross functional stakeholders ensuring the organization continues to maintain CHAP accreditation and compliance with DME requirements including managing external DME audits, maintaining quality documentation and ensuring adherence to regulatory standards. This role supports EU MDR deliverables in collaboration with external regulatory consultants. This role plays a key part in sustaining a compliant, audit-ready QMS that upholds patient safety and organizational integrity. RESPONSIBILITIES: - Lead, mentor, and develop Quality Systems team members, fostering a culture of quality, accountability, collaboration, and continuous improvement - Partner cross-functionally to investigate quality issues, interpret data trends, and drive timely, risk-based decisions - Build and maintain strong working relationships with internal stakeholders, external auditors, and regulatory partners - Own and maintain the Document Control system, ensuring controlled documents remain accurate, current, compliant, and properly version-controlled - Administer and continuously enhance the company training program, ensuring timely completion, training effectiveness, and maintenance of compliant training records - Own the CAPA program, including driving timely resolution of aging CAPAs, ensuring robust root cause investigations, and monitoring closure effectiveness and metrics - Manage Nonconformance (NC) processes from initiation through final disposition and closure, ensuring timely and compliant execution - Lead Management Review activities, including development of quality metrics, trend analysis, and executive-ready Quality Management Review (QMR) materials - Monitor, analyze, and trend quality system metrics to proactively identify systemic risks, drive corrective actions, and support continuous improvement initiatives - Support post-market surveillance activities, including maintenance of associated documentation and reporting requirements - Support EU MDR compliance activities in partnership with external regulatory consultants, including CERs, PSURs, and PMS deliverables - Maintain quality documentation and records necessary to support BSI certification activities and ongoing CE mark compliance - Own and execute the Internal Audit Program, including audit planning, scheduling, execution, findings management, and verification of corrective action closure - Coordinate CHAP accreditation activities and ongoing DME compliance requirements, including preparation for and management of external audits - Partner with external auditors and regulatory agencies to support inspections, audits, and compliance readiness activities - Ensure the Quality Management System remains compliant with FDA, ISO 13485, CHAP, EU MDR, and other applicable regulatory and quality standards - Support system validation activities, process improvements, and ongoing enhancements to quality systems and tools as needed QUALIFICATIONS: - 5+ years of progressive Quality Assurance experience within the medical device industry, including experience in regulated manufacturing environments - 2+ years of people leadership or management experience, with demonstrated ability to lead and develop high-performing teams - Strong working knowledge of ISO 13485, 21 CFR Part 820, FDA Quality System Regulations, and EU MDR requirements - Hands-on experience utilizing eQMS and PLM systems to support quality and compliance initiatives - Ability to interpret, implement, and adapt to evolving regulatory requirements, including DME quality system standards - Solid understanding of core quality processes, including CAPA, nonconformance management, complaint handling, change control, and internal auditing - Experience partnering with external auditors and regulatory agencies, including BSI, FDA, CHAP, or equivalent organizations - Demonstrated ability to manage multiple priorities and drive execution in a fast-paced, evolving environment - Strong analytical and problem-solving skills, with the ability to identify trends, summarize findings, and communicate recommendations to leadership BENEFITS: Element Science offers a very competitive salary and benefits package including, but not limited to: - Stock Options - 90% employer-paid medical, dental, and vision insurance - Company-paid Basic Life Insurance - 401(k) retirement plan (Traditional and Roth) - Competitive Paid Time Off - Paid Holidays - FSA (Flexible Spending Accounts) - HSA (Health Savings Account) - Employee Assistance Program through PEO The salary for this exempt-level position will be based on experience and qualifications within an established pay range. Pay range: $144,000 - $154,000 Element Science is an Equal Opportunity Employer. All candidates will be evaluated on the basis of their qualifications for the job in question. We do not base our employment decision on non-merit-based factors prohibited by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. We are not able to sponsor individuals for employment visas for this job. At this time, we are unable to offer relocation assistance.

🏢 Summary: Revenue Cycle Management Manager role focused on overseeing billing, accounts receivable, cash flow, and financial operations for sponsor-funded clinical studies across a multi-site research network. The position includes leading AR recovery efforts, onboarding acquired sites onto eCTMS platforms, and improving finance workflows in a fast-growing healthcare research environment. Candidates should have strong finance operations experience, system migration expertise, and advanced Excel skills. 🗂️ Requirements: Bachelor's degree in Finance, Accounting, Business, or related field, 5–7+ years in accounts receivable, revenue cycle management, billing operations, or finance, Experience leading process improvement or owning finance operations, Experience with system implementations, migrations, or onboarding onto shared platforms, Experience driving AR recovery and reducing aged balances, Advanced Microsoft Excel proficiency, Ability to manage multiple priorities and stakeholders, Strong written and verbal communication skills, Experience working cross-functionally with finance and operations teams 📃 Skills: Excel, eCTMS, CRIO, Finance, Accounting, Billing, Reconciliation, Reporting, AR, RCM 🏢 Description: Iterative Health is a healthcare technology and services company powering the acceleration of clinical research to transform patient outcomes. We built a leading performance-driven network of 100+ sites across the US, Europe, India, and Australia, conducting research directly in the communities where care is delivered across gastrointestinal, hepatology, obesity, and cardiology. By combining deep clinical trial expertise with cutting-edge AI, we connect sponsors' scientific ambitions with high-performing research teams that expedite and expand access to novel therapeutics for patients in need. The Manager, Revenue Cycle Management at Iterative Health has end-to-end ownership of revenue cycle management across sponsor-funded clinical studies and our research site network. This pivotal role is responsible for ensuring accurate billing, timely cash application, and proactive management of accounts receivable to optimize cash flow across a complex, multi-site clinical research environment. You will partner closely with cross-functional teams to drive financial performance while supporting the growth of our research network. You will also lead the onboarding of newly acquired sites onto our real-time eCTMS platform, standardizing processes and helping scale research finance operations as the organization grows. Success in this role requires a hands-on, detail-oriented leader who enjoys building efficient processes, solving operational challenges, and identifying smarter, more scalable ways of working. Where You'll Drive Impact - Lead, coach, and develop members of the revenue cycle team, establishing priorities, driving accountability, and supporting professional growth. - Own the end-to-end revenue cycle for sponsor-funded studies and internal sites, ensuring accurate tracking of balances and timely collections. - Serve as the point person leading financial migrations for newly acquired sites — transferring active studies from paper-based processes and other eCTMS platforms (such as CRIO) onto our real-time eCTMS. - Lead all AR recovery efforts for balances aging beyond 90 days, owning escalation strategy, resolution, and root-cause remediation. - Monitor and reconcile study-level balances and payment activity, proactively identifying discrepancies and driving resolution with internal and external stakeholders. - Analyze AR aging and payment trends, escalating risks and recommending actions to improve collections and cash flow. - Serve as a key point of contact for sponsors and CROs regarding billing inquiries, payment status, and outstanding balances. - Partner cross-functionally with Clinical Operations, Site Finance, and Accounting teams to clarify billing terms, milestone triggers, and contract deliverables. - Prepare AR aging schedules, financial summaries, and operational reports for finance leadership. - Lead internal audits, financial reviews, and documentation related to accounts receivable and billing activities. - Define and improve AR and RCM workflows, reporting, and system utilization to increase efficiency and financial transparency. - Own finance process documentation and drive adoption of best practices across the organization. - Performs related duties as requested. What You'll Bring - Bachelor's degree in Finance, Accounting, Business, or a related field; or equivalent practical experience. - 5–7+ years of experience in accounts receivable, revenue cycle management, billing operations, or finance within a complex or multi-entity environment, including experience owning a function or leading process improvement. - Demonstrated experience leading system implementations, migrations, or the onboarding of new sites/entities onto a shared platform. - Track record of driving AR recovery and reducing aged balances across a complex receivables portfolio. - Strong proficiency in Microsoft Excel, including data analysis, reconciliation, and financial reporting. - Demonstrated ability to manage multiple priorities and stakeholders while maintaining strong attention to detail and accuracy. - Strong written and verbal communication skills, with the ability to work effectively with internal stakeholders and external partners including sponsors and CROs. - Proven ability to independently own operational finance processes, lead cross-functional efforts, and resolve issues proactively. Preferred Qualifications - Hands-on experience with RealTime eCTMS, CRIO, or similar clinical trial management and billing systems. - Experience migrating or onboarding clinical research sites from paper-based or legacy eCTMS systems onto a unified platform. - Background in healthcare revenue cycle management, clinical research, or clinical trial finance. - Familiarity with clinical trial billing structures, sponsor contracts, and study-level financial reconciliation. - Experience working in high-growth, multi-site, or acquisitive organizations. How We Work - Collaborative and low-ego team environment - High ownership and accountability culture - Fast-paced and highly iterative growth environment - Open communication and continuous learning mindset - Mission-driven organization focused on improving patient outcomes - Comfortable navigating evolving business priorities and opportunities Benefits That Support You We believe great teams do their best work when they feel supported — professionally and personally. - Hybrid work environment with in-office collaboration two days per week in either our NYC or Boston office - Comprehensive medical, dental, and vision coverage, with up to 75% of premiums covered by Iterative Health - Mental health and wellness support through Spring Health - Health HSA or FSA options, and commuter FSA contributions supported by Iterative Health - Unlimited PTO, 12 company holidays, and a company-wide shutdown between Christmas and New Years - 401(k) program with a company match of up to 3% (up to $3,000 annually) - Weekly in-office lunch benefit every Tuesday - 100% company-paid short-term and long-term disability coverage - Annual wellness and professional development stipend to support your health and growth - And more!

🏢 Summary: The Accounts Receivable and Financing Specialist manages the full revenue collection cycle for regional projects, from invoicing to final payment, ensuring timely funding and clean financial closeouts. The role focuses on AR aging management, financing coordination, payment reconciliation, and cross-functional collaboration to prevent delays in installation or collections. This onsite position requires strong billing expertise and experience with accounting systems in a project-based environment. 🗂️ Requirements: 2+ years of experience in accounts receivable, billing, project administration, or related accounting/operations role, Strong understanding of project billing, purchase orders, change orders, and invoicing processes, Ability to manage AR aging and drive collections performance, Experience communicating with homeowners, financing lenders, and internal stakeholders, Strong organizational skills and attention to detail, Ability to manage multiple projects and deadlines simultaneously, Excellent communication and problem-solving skills 📃 Skills: ServiceTitan, Sage, Excel, Accounting, Billing, Invoicing, Reconciliation, Reporting, Auditing, Compliance 🏢 Description: Job Summary The Accounts Receivable (AR) and Financing Specialist owns the full revenue collection cycle — from daily invoicing through final payment — and serves as the primary point of contact for all financing activity across the West Region. This person keeps the AR aging report clean, ensures financing partners fund jobs on time, and resolves any payment or financing issue that could delay installation or hold up collection. The specialist works closely with the Operations Manager, Production Administrators, Install Managers, Sales Teams, and the Accounting team to keep every job moving toward a clean financial close. Location This role may be located at one of our West Regional offices: Mill Creek, WA 98012 Clackamas, OR 97015 Fully-Onsite (Monday - Friday, standard business hours) Key Responsibilities Own the financial closeout process for all West Region projects, ensuring timely invoicing, payment collection, and account reconciliation. Drive collection efforts and manage AR aging performance, proactively resolving outstanding balances and reducing days sales outstanding (DSO). Lead collections escalations for past-due accounts, including lien coordination and communication with leadership. Manage progress billing and payment schedules to ensure customer and financing payments are collected on time. Serve as the primary liaison for financing partners and funding platforms, ensuring timely approvals, funding, and issue resolution. Guide homeowners through financing processes and remove obstacles that could delay installation or payment. Process and reconcile payments within ServiceTitan, ensuring accurate job-level financial records. Prepare project closeout packages and ensure all financial and documentation requirements are completed. Partner cross-functionally with Operations, Sales, Production, and Accounting teams to resolve issues and support successful project completion. Support reporting, bad debt analysis, audits, and continuous improvement initiatives related to billing and collections. Maintain compliance with company policies, customer requirements, and financial controls. Qualifications 2+ years of experience in accounts receivable, billing, project administration, or a related accounting or operations role. Strong understanding of project billing, purchase orders, change orders, and invoicing processes. Comfortable communicating directly with homeowners, financing lenders, and internal leadership to resolve issues quickly and professionally. Strong organizational skills with high attention to detail. Ability to manage multiple projects and deadlines simultaneously. Excellent communication and problem-solving skills. Preferred Skills Construction or contractor industry experience. Proficiency with ServiceTitan, Sage, and accounting platforms. Proficiency with MS Excel. Knowledge of billing, retainage, and contract closeout requirements. Experience with customer invoicing portals and compliance documentation. Analytical mindset with ability to identify cost discrepancies and process improvements. Work Environment Onsite daily office work environment. Frequent coordination with operations, accounting, procurement, and field teams. May require occasional extended hours during month-end or project completion cycles. Compensation Competitive hourly pay + performance based incentives. On target earnings ($62,000 - $80,000). Benefits Full-time employees are eligible to participate in the following benefits: Health, Dental, and Vision Insurance 401(k) with company match Company sponsored Life and AD&D coverage Paid Time Off Opportunities for growth and on-the-job training

🏢 Summary: Remote RCM Float Specialist role supporting multiple areas of the healthcare revenue cycle within an ABA organization. The position requires hands-on experience across authorizations, benefits verification, credentialing, claims posting, and accounts receivable, with a focus on multi-state payer and Medicaid requirements. Ideal for an adaptable revenue cycle professional who can work independently in a fast-paced remote environment. 🗂️ Requirements: 3+ years healthcare revenue cycle experience, Experience with authorizations, VOB, AR, claims posting, credentialing, Experience with Commercial and Medicaid insurance plans, Knowledge of multi-state payer requirements, Understanding of state-specific Medicaid regulations and MCO requirements, Ability to interpret and apply payer policies, Experience researching payer and reimbursement regulations, Ability to work independently in remote environment, Strong payer follow-up and problem-solving skills, High attention to detail 📃 Skills: RCM, ABA, Authorizations, VOB, Credentialing, Claims, AccountsReceivable, Medicaid, MCO, Billing, ProviderEnrollment, Reimbursement 🏢 Description: RCM Float Specialist (Remote) – ABA Sunrise ABA is seeking an experienced RCM Float Specialist to join our growing Revenue Cycle Management team. This role is ideal for someone with experience across multiple areas of the healthcare revenue cycle. The RCM Float Specialist provides support across all areas of the RCM team, including Authorizations, Verification of Benefits (VOB), Credentialing, Claims Posting, and Accounts Receivable (AR), based on operational needs. This position requires a highly organized, adaptable, and detail-oriented revenue cycle professional. What We are Looking For: • Healthcare revenue cycle experience required (3+ years) • ABA experience strongly preferred • Knowledge of authorizations, VOBs, AR, claims posting, and credentialing • Strong payer follow-up, research, and problem-solving skills • Ability to work independently in a fast-paced remote environment • Experience working with both Commercial and Medicaid insurance plans • Knowledge of multi-state payer requirements, including state-specific Medicaid regulations, MCO requirements, authorization processes, provider enrollment, and billing guidelines • Ability to interpret and apply varying payer policies across multiple states and insurance plans • Experience researching payer requirements and staying current on regulatory and reimbursement changes • Strong attention to detail with the ability to identify payer-specific rules that may impact eligibility, authorizations, billing, credentialing, or reimbursement • Ability to quickly shift priorities and provide coverage across multiple RCM functions as business needs evolve If you enjoy learning all aspects of the revenue cycle and want to have a direct impact on a growing ABA organization, we would love to hear from you! Pay Rate: $22–$25 USD

🏢 Summary: The Accounts Receivable and Financing Specialist owns the full revenue collection cycle for regional projects, from invoicing through final payment, while serving as the primary liaison for financing partners. The role focuses on AR aging management, collections, funding coordination, and financial closeout to ensure timely payments and smooth project completion. This is a fully onsite position collaborating cross-functionally with operations, sales, and accounting teams. 🗂️ Requirements: 2+ years of experience in accounts receivable, billing, project administration, or related accounting/operations role, Strong understanding of project billing, purchase orders, change orders, and invoicing processes, Ability to manage AR aging, collections, and account reconciliation, Experience coordinating with financing partners and managing funding processes, Ability to reconcile and process payments in financial systems, Strong organizational skills and attention to detail, Ability to manage multiple projects and deadlines, Strong communication and problem-solving skills 📃 Skills: ServiceTitan, Sage, Excel, Accounting, Billing, Invoicing, Reconciliation, AR, DSO, Financing 🏢 Description: About Us Vertex Service Partners is a home improvement services company focused on residential roofing and other exterior services across the United States. Backed by Alpine Investors, a private equity fund with $4.0 billion of committed capital, Vertex is building a national platform while preserving the autonomy of local brands. The company operates with a focus on operations, marketing, training, talent, finance, and technology support. Job Summary The Accounts Receivable (AR) and Financing Specialist owns the full revenue collection cycle — from daily invoicing through final payment — and serves as the primary point of contact for all financing activity across the West Region. This person keeps the AR aging report clean, ensures financing partners fund jobs on time, and resolves any payment or financing issue that could delay installation or hold up collection. The specialist works closely with the Operations Manager, Production Administrators, Install Managers, Sales Teams, and the Accounting team to keep every job moving toward a clean financial close. Location This role may be located at one of the West Regional offices: Mill Creek, WA 98012 Clackamas, OR 97015 Fully onsite (Monday - Friday, standard business hours). Key Responsibilities - Own the financial closeout process for all West Region projects, ensuring timely invoicing, payment collection, and account reconciliation. - Drive collection efforts and manage AR aging performance, proactively resolving outstanding balances and reducing days sales outstanding (DSO). - Lead collections escalations for past-due accounts, including lien coordination and communication with leadership. - Manage progress billing and payment schedules to ensure customer and financing payments are collected on time. - Serve as the primary liaison for financing partners and funding platforms, ensuring timely approvals, funding, and issue resolution. - Guide homeowners through financing processes and remove obstacles that could delay installation or payment. - Process and reconcile payments within ServiceTitan, ensuring accurate job-level financial records. - Prepare project closeout packages and ensure all financial and documentation requirements are completed. - Partner cross-functionally with Operations, Sales, Production, and Accounting teams to resolve issues and support successful project completion. - Support reporting, bad debt analysis, audits, and continuous improvement initiatives related to billing and collections. - Maintain compliance with company policies, customer requirements, and financial controls. Qualifications - 2+ years of experience in accounts receivable, billing, project administration, or a related accounting or operations role. - Strong understanding of project billing, purchase orders, change orders, and invoicing processes. - Comfortable communicating directly with homeowners, financing lenders, and internal leadership. - Strong organizational skills with high attention to detail. - Ability to manage multiple projects and deadlines simultaneously. - Excellent communication and problem-solving skills. Preferred Skills - Construction or contractor industry experience. - Proficiency with ServiceTitan, Sage, and accounting platforms. - Proficiency with MS Excel. - Knowledge of billing, retainage, and contract closeout requirements. - Experience with customer invoicing portals and compliance documentation. - Analytical mindset with ability to identify cost discrepancies and process improvements. Work Environment - Onsite daily office work environment. - Frequent coordination with operations, accounting, procurement, and field teams. - May require occasional extended hours during month-end or project completion cycles. Compensation Competitive hourly pay plus performance-based incentives. On-target earnings range from $62,000 to $80,000 annually. Benefits Full-time employees are eligible for: - Health, Dental, and Vision Insurance - 401(k) with company match - Company-sponsored Life and AD&D coverage - Paid Time Off - Opportunities for growth and on-the-job training Equal opportunity employer statement and applicant privacy policy apply.

🏢 Summary: Remote RCM Float Specialist role supporting multiple areas of the healthcare revenue cycle within an ABA organization. The position involves working across authorizations, benefits verification, credentialing, claims posting, and accounts receivable based on operational needs. It is suited for an experienced revenue cycle professional comfortable with multi-state payer requirements and both Commercial and Medicaid plans. 🗂️ Requirements: 3+ years healthcare revenue cycle experience, Knowledge of authorizations, VOB, AR, claims posting, credentialing, Experience with Commercial and Medicaid insurance plans, Knowledge of multi-state payer requirements and Medicaid regulations, Ability to interpret and apply payer policies across states, Experience researching payer requirements and regulatory changes, Strong payer follow-up and problem-solving skills, Ability to work independently in remote environment, High attention to detail, Ability to manage multiple RCM functions and shift priorities 📃 Skills: RCM, Authorizations, VOB, Credentialing, Claims, AR, Medicaid, CommercialInsurance, Billing, ProviderEnrollment 🏢 Description: RCM Float Specialist (Remote) – ABA Sunrise ABA is seeking an experienced RCM Float Specialist to join our growing Revenue Cycle Management team. This role is perfect for someone who enjoys variety and has experience across multiple areas of the healthcare revenue cycle. The RCM Float Specialist will provide support across all areas of the RCM team, including Authorizations, Verification of Benefits (VOB), Credentialing, Claims Posting, and Accounts Receivable (AR), based on operational needs. No two days are the same, making this an excellent opportunity for a highly organized, adaptable, and detail-oriented revenue cycle professional. What We Are Looking For: • Healthcare revenue cycle experience required 3+ years • ABA experience strongly preferred • Knowledge of authorizations, VOBs, AR, claims posting, and credentialing • Strong payer follow-up, research, and problem-solving skills • Ability to work independently in a fast-paced remote environment • Experience working with both Commercial and Medicaid insurance plans • Knowledge of multi-state payer requirements, including state-specific Medicaid regulations, MCO requirements, authorization processes, provider enrollment, and billing guidelines • Ability to interpret and apply varying payer policies across multiple states and insurance plans • Experience researching payer requirements and staying current on regulatory and reimbursement changes • Strong attention to detail with the ability to identify payer-specific rules that may impact eligibility, authorizations, billing, credentialing, or reimbursement • Ability to quickly shift priorities and provide coverage across multiple RCM functions as business needs evolve If you enjoy learning all aspects of the revenue cycle and want to have a direct impact on a growing ABA organization, we would love to hear from you! Pay Rate: $22–$25 USD