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RouteGenie · 10 hours ago

Senior Billing and Expense Associate

Buffalo, NY

Contract

Onsite

Mid, Senior Level

$60K/yr - $75K/yr

4+ years exp

RouteGenie is a fast-growing healthcare technology company powering non-emergency medical transportation operations across the U.S. They are seeking a Senior Billing & Expense Associate to own the execution of billing, collections, claims billing, sales commission calculations, and expense oversight. This role is responsible for ensuring revenue is billed accurately and cash is collected efficiently while working closely with internal teams and external accounting partners.

Software

Responsibilities

Prepare and issue accurate customer invoices in accordance with contract terms

Track accounts receivable and manage collections follow-ups

Resolve customer billing questions and discrepancies

Maintain contract-to-invoice documentation

Reconcile invoiced revenue to cash receipts and accounting records

Identify and escalate risks related to delayed billing or collections

Execute concierge claims billing workflows from submission through payment

Track claims status, aging, and denials

Follow up with payers and partners as needed

Maintain clear documentation of claims billed versus cash received

Identify recurring issues or delays and surface trends to leadership

Calculate monthly sales commissions based on approved compensation plans

Maintain commission inputs, rules, and supporting documentation

Prepare commission statements for internal review

Reconcile commissions to the underlying revenue activity

Coordinate commission payout inputs with payroll providers

Flag discrepancies or edge cases for review

Review accounts payable summaries prepared by outsourced accounting partners

Track departmental spend against budget

Monitor recurring vendors and expense trends

Ensure expenses are coded correctly

Flag unusual or unexpected spend and support approval processes

Support revenue and expense review prior to month-end close

Partner with external accounting firms to ensure a timely and accurate close

Reconcile key revenue and expense accounts

Maintain documentation to support audits, reporting, and diligence

Qualification

BillingAccounts ReceivableRevenue OperationsSaaS ExperienceHealthcare ExperienceExcel SkillsProcess DisciplineOutsourced AccountingCommunication SkillsAttention to Detail