Senior Billing and Expense Associate

Overview

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.

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 escalate 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 independently
• Strong Excel / spreadsheet skills / ability and willingness to leverage AI agents
• Clear, professional communication skills
• Experience working with outsourced accounting or payroll partners
• Accounting or finance degree helpful; CPA not required

• Invoices are issued accurately and on time
• Accounts receivable aging improves month over month
• Claims are tracked with clear visibility into delays and denials
• Sales commissions are calculated accurately and consistently
• Company spend is visible, controlled, and predictable

• 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…