RouteGenie is a fast-growing healthcare technology company powering non-emergency medical transportation (NEMT) operations across the U.S. Our platform supports routing, dispatch, billing, and care coordination for healthcare providers, payers, and transportation partners. We are building a scalable, software-led business with strong growth momentum.
Why You’ll Love Working HereCustomer‑First Approach: From initial implementation through long‑term support, our team builds solutions to support our customers for the long term. Proven Results, Fast Innovation: Our platform empowers customers to complete more trips with the same fleet, cut down on no-shows, and improve billing accuracy. We are continuously innovating and investing in our platform so our customers can improve their operations.Culture of Collaboration & Improvement: You’ll work alongside a team of passionate problem-solvers who share knowledge freely, celebrate wins together, and push each other to do their best work.Room to Grow: At RouteGenie, you’ll have opportunities to expand your skills, take on new challenges, and innovate in a fast-moving environment where your contributions truly matter.
Benefits & PerksWe know great work starts with a supportive environment. Here’s what we offer:Competitive pay with an annual bonus opportunityHealth, dental, and vision insurancePaid time off, holidays, and flexible core business hours401(k) retirement plan with company contributionCompany paid parking in a covered parking garageProfessional development opportunities, including training and conferencesA collaborative, mission-driven culture where your impact is seen and valued
RouteGenie is seeking a Senior Billing & Expense Associate to own the execution of billing, collections, claims billing, sales commission calculations, and expense oversight. This is a hands-on individual contributor role responsible for ensuring revenue is billed accurately, cash is collected efficiently, and company spend is visible and controlled.
This role sits at the center of our contract-to-cash process and works closely with internal teams and external accounting partners to support a clean, scalable finance operation as the business grows.
This is an on-site position (Monday–Friday). The base salary range for this role is $60,000-$75,000.
Key ResponsibilitiesBilling, Revenue & Accounts ReceivablePrepare and issue accurate customer invoices in accordance with contract termsTrack accounts receivable and manage collections follow-upsResolve customer billing questions and discrepanciesMaintain contract-to-invoice documentationReconcile invoiced revenue to cash receipts and accounting recordsIdentify and escalate risks related to delayed billing or collections
Concierge Claims BillingExecute concierge claims billing workflows from submission through paymentTrack claims status, aging, and denialsFollow up with payers and partners as neededMaintain clear documentation of claims billed versus cash receivedIdentify recurring issues or delays and surface trends to leadership
Sales Commission CalculationsCalculate monthly sales commissions based on approved compensation plansMaintain commission inputs, rules, and supporting documentationPrepare commission statements for internal reviewReconcile commissions to the underlying revenue activityCoordinate commission payout inputs with payroll providersFlag discrepancies or edge cases for review
Expense & Spend OversightReview accounts payable summaries prepared by outsourced accounting partnersTrack departmental spend against budgetMonitor recurring vendors and expense trendsEnsure expenses are coded correctlyFlag unusual or unexpected spend and support approval processes
Month-End Close SupportSupport revenue and expense review prior to month-end closePartner with external accounting firms to ensure a timely and accurate closeReconcile key revenue and expense accountsMaintain documentation to support audits, reporting, and diligence
Qualifications4–8+ years of experience in billing, accounts receivable, revenue operations, or accounting operationsExperience in SaaS, healthcare, NEMT, or other complex billing environments preferredStrong attention to detail and process disciplineComfortable owning execution independentlyStrong Excel / spreadsheet skills / ability and willingness to leverage AI agentsClear, professional communication skillsExperience working with outsourced accounting or payroll partnersAccounting or finance degree helpful; CPA not required
What Success Looks LikeInvoices are issued accurately and on timeAccounts receivable aging improves month over monthClaims are tracked with clear visibility into delays and denialsSales commissions are calculated accurately and consistentlyCompany spend is visible, controlled, and predictableLeadership has confidence in day-to-day revenue and expense execution
Ready to Join Us?If you’re a master of billing, accounts receivable, revenue operations, or accounting operations and can own the contract to cash cycle, this role is for you. You’ll roll up your sleeves, take on a variety of responsibilities, and see the impact of your work every day.
At RouteGenie, your efforts will directly support our mission to connect people and care by powering the technology that moves them. If you’re ready to bring your skills to a collaborative, fast-moving team, we’d love to hear from you—apply today!
Please note that actual salaries may vary within, above, or below this range based on factors such as education, training, experience, professional achievement, and business needs.
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