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Note: The job is a remote job and is open to candidates in USA. Garner Health is on a mission to transform the U.S. healthcare system. They are seeking a Senior Billing & A/R Analyst to manage the monthly invoicing and Accounts Receivable function, ensuring accurate billing and collections while leveraging automation to improve efficiency.ResponsibilitiesOwn the monthly invoicing process end to end. Manage the invoicing queries and tooling, build and release invoice batches, and generate and distribute ~800 invoices per month across standard, self-bill, and bespoke client arrangementsEnsure complete and accurate invoicing. Own the controls, validation and review processes across invoice completeness, plan coverage, rates, invoicing groups, and banking data. Investigate and resolve exceptions with cross-functional partners and ensure adjustments and client-specific requirements are accurately reflectedOwn Accounts Receivable & collections. Manage the A/R balance from issuance through cash receipt; including collections and follow-up on overdue balances, ACH pulls and re-attempts; and timely cash application and deposit classification to support month-end closeManage billing inquiries and issue resolution. Own the A/R inbox and respond to client, broker, and internal billing questions within established service level agreements, coordinating with internal teams to resolve issues efficientlyLeverage and continuously improve our automation. Use our internal Claude skill suite as the default way to run recurring tasks (self-bills, cash application, dashboards, batch QA), and improve those skills as the business continues to evolveMaintain client billing data and portals. Keep invoice contacts, terms, and banking details accurate; maintain Garner's presence in AP/supplier portals (Coupa, SAP, and others)Own Billing and A/R performance metrics. Track and report the metrics that measure invoicing completeness/accuracy and collections effectiveness (DSO, AR turnover, aging, invoice error rate, on-time batch rate, SLA attainment), and act on what they showMaintain strong processes and documentation. Keep SOPs and the shared system of record current and legible enough that a teammate can run any part of this function cold no single points of failureSkillsExperience owning Billing and Accounts Receivable processes, ideally in a high volume environment, with experience using QuickBooks Online, Netsuite or similar financial systemsStrong understanding of A/R and collections, including DSO, aging, cash application, and the operational drivers of collections performanceStrong analytical and reconciliation skills, with the ability to identify variances, trace issues across multiple data sources, and drive them through resolutionA continuous-improvement mindset with an interest in using automation and AI to make recurring processes more accurate, efficient and scalableAn ownership mindset with the ability to independently manage the function, identify issues and risks, and partner across teams to resolve themMeticulous attention to accuracy and controls, with a disciplined approach to validating work and identifying issues before they impact clients or financial reportingClear and proactive communication, with the ability to manage competing priorities, meet deadlines and service level agreements, and escalate issues appropriatelyA problem solving mindset with an eagerness to dig into issues, investigate root causes, and document the problem and steps to resolutionA desire to be a part of a high-performing, mission-driven team that operates with intense urgency, a strong sense of individual accountability, and a commitment to authentic feedbackExperience with Salesforce, Snowflake/SQL, or similar tools is a plusBenefitsThis role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTOMedical/Dental/Vision plan options401(k)Teladoc HealthCompany OverviewGarner Health is a healthcare technology company that connects employers and employees with high-performing medical providers. It was founded in 2019, and is headquartered in New York, New York, USA, with a workforce of 201-500 employees. Its website is https://www.garnerhealth.com. Apply To this Job .