Billing Operations Associate

About Us
1 in 25 adolescents and young adults will be diagnosed with serious mental illness. The majority of these families struggle to get care. Flourish (https://flourish.health/) is here to ensure that everybody gets the same access to great care.

About the Position
We are seeking a detail-oriented Billing Operations Associate to join our team. This role is critical to ensuring the accuracy, integrity, and timeliness of our billing processes. We are looking for a startup operator who thrives in highly structured, detail-heavy workflows and is skilled at cross-functional collaboration.

You will support the day-to-day execution of billing operations in a model centered around a single bundled monthly rate, requiring rigorous tracking, reconciliation, and consistency. You are a great fit for this role if you are organized, precise, and take pride in getting the details exactly right. You will report to the Head of Finance.

Role Responsibilities
Billing Operations Execution
Submit and manage monthly billing claims for all active patients under a bundled rate model

Ensure accuracy of billing inputs, including patient eligibility, enrollment status, and service periods

Maintain detailed billing records and audit trails through regular reconciliation processes

Identify, investigate, and resolve billing discrepancies in a timely manner, including denial and appeals management

Track billing changes such as pauses, discharges, or plan transitions and ensure accurate adjustments

Manage different billing systems and claim structures based on the MCO and state specific requirements

Reconciliation & Data Integrity
Perform routine audits to ensure billing data aligns with internal systems and source-of-truth records

Reconcile billing outputs against enrollment, care delivery, and eligibility data

Flag inconsistencies proactively and partner cross-functionally to resolve root causes

Support month-end close processes by ensuring billing completeness and accuracy

Cross-Functional Coordination
Collaborate with leadership to validate patient status, authorizations, and billing eligibility

Partner with Finance on invoicing, reporting, and payment tracking

Respond to internal billing inquiries, modeling Flourish values in high-stakes or time-sensitive situations

Support external billing-related inquiries as needed

Process Improvement & Support
Identify opportunities to improve billing workflows, accuracy, and scalability

Support implementation of billing systems, tools, and process enhancements

Contribute to documentation of billing processes and standard operating procedures

Support additional projects as assigned

Qualifications
Required
Bachelor’s degree in Business, Finance, Healthcare Administration, or comparable experience

1–2 years of experience in billing, finance operations, or a detail-oriented administrative role

Strong attention to detail and commitment to accuracy

Excellent organizational and time management skills

Comfort working with structured data and reconciling across multiple sources

Strong written and verbal communication

Preferred
Experience with healthcare billing models (claims submission, bundled payments, both Medicaid and commercial)

Familiarity with billing or financial systems (e.g., Stripe, QuickBooks, or similar tools)

Experience working cross-functionally in a fast-paced environment

Comfort with spreadsheets and data reconciliation (Excel/Google Sheets)

Schedule
Schedule can be 8:30am-5pm or 9am-5:30pm in your local time zone.
Job Type: Full-Time
Work Location: Remote, but attendance and events support is required at 2+ company events per year
Salary: $50,000-$59,000
Benefits:
401(k) matching

Home Office Stipend

Paid Time Off

Medical, Dental, and Vision Insurance

Supervisor: This role reports to the Head of Finance
The Right Person
The right person (you!) cares deeply about improving outcomes and quality of life for individuals with serious mental health conditions and their families. If that resonates, we encourage you to apply, whether you check all the boxes or not. We’re focused on cultivating a community of people who can grow with us, and you might be the person we’re looking for, even if you don’t realize it yet.

Notably, we encourage those with lived experience, and members of traditionally underrepresented communities to apply, including people of color, LGBTQ-identifying people, veterans, and differently abled individuals. In your application, please feel free to note which pronouns you use (optional). If you need reasonable adjustments at any point in the application or interview process, please let us know.

EEO Statement
Flourish Health is an Equal Employment Opportunity (EEO) employer. We are committed to providing a work environment that is free from discrimination and harassment on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local laws. We embrace diversity and encourage all qualified candidates to apply, as we believe that our differences make us stronger and more innovative.

Our dedication to inclusivity is the foundation of our work culture, where everyone is valued, respected, and has an equal opportunity to thrive. E-Verify
Flourish Health participates in E-Verify. As an employer, we comply with federal law by verifying the identity and employment eligibility of all individuals hired to work in the United States