Senior Billing & A/R Analyst, Garner Health
$125-135k
+ Equity Incentive
More information about location
Data-powered doctor search tool
Be an early applicant
Data-powered doctor search tool
201-500 employees
Be an early applicant
$125-135k
+ Equity Incentive
More information about location
201-500 employees
Company mission
To transform the healthcare economy, delivering high quality and affordable care for all.
Role
Who you are
- Experience owning Billing and Accounts Receivable processes, ideally in a high volume environment, with experience using QuickBooks Online, Netsuite or similar financial systems
- Strong understanding of A/R and collections, including DSO, aging, cash application, and the operational drivers of collections performance
- Strong analytical and reconciliation skills, with the ability to identify variances, trace issues across multiple data sources, and drive them through resolution. Experience with Salesforce, Snowflake/SQL, or similar tools is a plus
- A continuous-improvement mindset with an interest in using automation and AI to make recurring processes more accurate, efficient and scalable
- An ownership mindset with the ability to independently manage the function, identify issues and risks, and partner across teams to resolve them
- Meticulous attention to accuracy and controls, with a disciplined approach to validating work and identifying issues before they impact clients or financial reporting
- Clear and proactive communication, with the ability to manage competing priorities, meet deadlines and service level agreements, and escalate issues appropriately
- A problem solving mindset with an eagerness to dig into issues, investigate root causes, and document the problem and steps to resolution
- A 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 feedback
What the job involves
- We are looking for an exceptional Senior Billing & A/R Analyst to join our Finance team
- You will own Garner's monthly client invoicing and Accounts Receivable function end to end — a high-volume, high-visibility platform with complex internal and external requirements
- You will oversee the production and distribution of ~800 invoices per month, own the controls, validation and review processes that ensure complete and accurate invoicing, manage collections and the A/R inbox, and keep cash application current to support a timely month-end close
- You'll join a Finance organization that has invested heavily in automation
- Much of the recurring work is already automated through a suite of internal AI tools (Claude "skills"), and you will be responsible for operating, maintaining, and continuously improving that tooling rather than recreating manual processes
- Beyond running the day-to-day function, you will own the KPIs that measure Billing and A/R performance, identify opportunities to strengthen our processes and controls and drive improvements that make the function more accurate, efficient and scalable
- Own 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 arrangements
- Ensure 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 reflected
- Own 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 close
- Manage 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 efficiently
- Leverage 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 evolve
- Maintain 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 show
- Maintain 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 failure
- This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare
Our take
An overworked US healthcare system has resulted in long waits and expensive prices, meaning that patients can't access the care that they need. Garner Health creates digital services that allow patients to find a medical expert that fits their specific needs, whatever their insurance circumstances are.
The startup provides an app that analyses local health-insurance claims history through AI. This data is used to recommend local medical professionals that will work with a patient's circumstances whilst providing direct communication channels for liaising. This helps patients to identify the highest-quality doctors and helps doctors improve how they practice medicine.
Despite other companies providing similar bespoke healthcare services, Garner Health shows a cutting edge by partnering with patient employers. This provides the financial incentive that employers must cover all or a portion of medical expenses, making healthcare financially accessible for all involved. The company has good funding at its back, and back in 2022 partnered with Marathon Health towards reducing the inefficiencies of specialty referrals.
Steph
Company Specialist at Welcome to the Jungle
Insights
142% employee growth in 12 months
Company
Funding (last 2 of 5 rounds)
May 2026
$100m
SERIES E
Feb 2026
$118m
SERIES D
Total funding: $279.3m
Company benefits
- Flexible PTO
- Garner for Garner (employees enrolled in a Garner medical plan gain access to the Garner benefit to find Top Providers and get reimbursed for eligible expenses)
- Hybrid and remote work
- Team meets twice each year to spark innovation and foster belonging
- Variety of social programs beyond work hours
- Equal paid parental leave (12 weeks) following the birth, adoption or placement of a child
- 401(k) plan with a 2% company match and immediate vesting
- Other financial benefits such as Flexible Spending Accounts and mortgage assistance
Company HQ
Flatiron District, New York, NY
Leadership
Nick Reber
(CEO & Founder)Studied Mathematics at Brown before joining Bridgewater Associates as a Senior Investment Associate in 2006. Left Bridgewater in 2016 to join Oscar Health's Leadership Team. Founded Garner in 2018.
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