Senior Billing & A/R Analyst

Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable care for all. We are fundamentally reimagining how healthcare works in the U.S. by partnering with employers to redesign healthcare benefits using clear incentives and powerful, data-driven insights. Our approach guides employees to higher-quality, lower-cost care, creating a system that works better for everyone. Patients achieve better health outcomes, employers spend healthcare dollars more effectively, and physicians are rewarded for delivering exceptional care rather than performing more procedures. Garner is one of the fastest-growing healthcare technology companies in the country. Our products are trusted by the most sophisticated employers and providers in the industry, and we are building a team of talented, mission-driven individuals who are motivated to make a meaningful impact on healthcare at scale. About the role: 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. Where you will work: Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ. What you will do: 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. The ideal candidate has: 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 This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare. Tools you will use QuickBooks Online, Netsuite, Salesforce, Modern Treasury, Snowflake, Google Sheets, client AP/supplier portals (Coupa, SAP), and a suite of internal AI/automation tools (Claude) that power recurring invoicing and reconciliation workflows. Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time. Compensation Transparency: The base salary range for this position is $125,000 - $135,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k), Teladoc Health and more. Fraud and Security Notice: Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to [email protected] . Equal Employment Opportunity: Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected] .