Senior Billing and Expense Associate

Route Genie 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.

• Customer‑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 Route Genie, you’ll have opportunities to expand your skills, take on new challenges, and innovate in a fast‑moving environment where your contributions truly matter.

We know great work starts with a supportive environment. Here’s what we offer:

• Competitive pay with an annual bonus opportunity
• Health, dental, and vision insurance
• Paid time off, holidays, and flexible core business hours
• 401(k) retirement plan with company contribution
• Company paid parking in a covered parking garage
• Professional development opportunities, including training and conferences
• A collaborative, mission‑driven culture where your impact is seen and valued

Route Genie 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.

• 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
• Reconcile invoiced revenue to cash receipts and accounting records
• Identify and elevate 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

• 4–8+ years of experience in billing, accounts receivable, revenue operations, or accounting operations
• Experience in SaaS, healthcare, NEMT, or other complex billing environments preferred
• Strong attention to detail and process discipline
• Comfortable owning execution…