Accounts Receivable Specialist

Octagos; Houston (TX); On-site; USD 50,000 - 75,000; Full time

Job summary

Octagos is seeking an Accounts Receivable Specialist to oversee the full AR cycle for Octagos Health, Inc. and payer relationships in a high-volume, multi-client setting.

Reporting to the Finance Manager, you will ensure accurate billing, timely collections, and clean month-end reconciliation. The ideal candidate will have healthcare revenue cycle or SaaS billing experience, strong process-improvement mindset, and the ability to collaborate with operations and client success teams.

Qualifications

• 3–5 years of accounts receivable or billing experience, preferably in healthcare, health tech, or SaaS.
• Proficiency with accounting software (QuickBooks, NetSuite, or similar ERP).
• Strong Excel skills including pivot tables, VLOOKUP/XLOOKUP, and data reconciliation.
• Solid understanding of the AR cycle, cash application, and collections best practices.
• High attention to detail with the ability to manage a large volume of accounts accurately.

Responsibilities

• Own end-to-end accounts receivable operations including invoice generation, payment application, and aging management.
• Ensure completeness and accuracy of the billable transmissions while sending out the invoices.
• Monitor and follow up on outstanding balances across clinic accounts, escalating delinquent accounts per policy.
• Reconcile AR as per Stripe and QuickBooks on a weekly basis and assist with month-end close activities.
• Investigate and resolve billing discrepancies, short payments, and disputes in coordination with operations and client success teams.
• Process incoming payments (EFT, ACH, check) and ensure proper coding to customer accounts.
• Prepare and distribute weekly AR aging reports and communicate status updates to Sales and Finance team.
• Partner with the revenue cycle team to ensure accurate charge capture and timely billing for remote monitoring services.
• Support audits and compliance reviews by providing documentation and analysis as needed.
• Identify opportunities to streamline AR workflows and implement process improvements.
• Respond to internal and external inquiries regarding account balances, invoicing, and payment status.

Skills

Accounts Receivable

Billing

QuickBooks

NetSuite

Excel Pivot

VLOOKUP/XLOOKUP

Data Reconciliation

Communication

Prioritization

Education

Degree in Accounting/Finance/Business

Tools

QuickBooks

NetSuite

Job description

Octagos is modernizing remote cardiac monitoring with AI-powered automation, seamless EHR integrations, and accuracy proven in high-volume, real-world clinics. Atlas AI™ triages cardiac device transmissions to filter nonactionable alerts and highlights the events that need true clinical attention. Through our Two-Brain Approach™ – combining Atlas AI™ with IBHRE-certified oversight – Octagos delivers 99%+ accuracy, sensitivity, and specificity for near-perfect clinical performance. With fast bi-directional EHR integrations, and flexible, cost-effective implementation, Octagos helps clinics scale care efficiently without compromise. Recognized by TIME and Statista as one of the World’s Top HealthTech Companies 2025, Octagos is redefining how cardiac care is delivered.

About The Position

The Accounts Receivable Specialist is responsible for managing the full AR cycle for Octagos Health,Inc. and payer relationships. Reporting to the Finance Manager, this role ensures accurate billing, timely collections, and clean reconciliation across a high-volume, multi-client environment. The ideal candidate brings a strong understanding of healthcare revenue cycle or SaaS billing, a process-improvement mindset, and the ability to work cross-functionally with operations and client success teams.

Key Responsibilities

• Own end-to-end accounts receivable operations including invoice generation, payment application, and aging management
• Ensuring completeness and accuracy of the billable transmissions while sending out the invoices
• Monitor and follow up on outstanding balances across clinic accounts, escalating delinquent accounts per established policy
• Reconcile AR as per Stripe and Quick books on a weekly basis and assist with month-end close activities
• Investigate and resolve billing discrepancies, short payments, and disputes in coordination with the operations and client success teams
• Process incoming payments (EFT, ACH, check) and ensure proper coding to customer accounts
• Prepare and distribute weekly AR aging reports and communicate status updates to Sales and Finance team
• Partner with the revenue cycle team to ensure accurate charge capture and timely billing for remote monitoring services
• Support audits and compliance reviews by providing documentation and analysis as needed
• Identify opportunities to streamline AR workflows and implement process improvements
• Respond to internal and external inquiries regarding account balances, invoicing, and payment status

Qualifications

Required:

• 3–5 years of accounts receivable or billing experience, preferably in healthcare, health tech, or SaaS
• Proficiency with accounting software (QuickBooks, NetSuite, or similar ERP)
• Strong Excel skills including pivot tables, VLOOKUP/XLOOKUP, and data reconciliation
• Solid understanding of the AR cycle, cash application, and collections best practices
• High attention to detail with the ability to manage a large volume of accounts accurately
• Effective written and verbal communication skills for client and internal correspondence
• Ability to work independently and prioritize tasks in a fast-paced environment

Preferred

• Experience with healthcare revenue cycle, CPT/ICD coding awareness, or remote patient monitoring billing
• Familiarity with Stripe, QuickBooks Online, or practice management systems
• Associate's or Bachelor's degree in Accounting, Finance, or Business Administration
• Experience in a high-growth startup or technology-enabled healthcare environment