Billing & Collections Operations Specialist

Thatch Health; Austin, Northern (TX, KY); Hybrid; USD 74,000 - 95,000; Full time

Job summary

Thatch Health is seeking an Operations Specialist, Billing and Collections in Austin, TX to own the day-to-day resolution of the billing and collections queue, working with employers, carriers, and internal teams to keep premiums current and enrollments accurate.

You will chase overdue invoices, resolve coverage corrections, and determine when to follow up or extend flexibility. This role offers the chance to shape SOPs as we scale and improve tooling with Engineering.

Qualifications

• 2+ years of direct experience in billing, collections, accounts receivable, or a similar operations role, ideally in a high-growth or high-volume environment.
• Demonstrated success managing a high-volume queue independently, with strong prioritization and follow-through.
• Excellent judgment and ability to make case-by-case decisions on collections and escalation without step-by-step direction.
• Strong analytical skills; able to reconcile invoices, payments, and ledgers to identify discrepancies.
• Well-developed written and verbal communication skills, including comfort delivering difficult financial conversations.

Responsibilities

• Own and manage a high-volume queue of billing and collections tasks, resolving overdue invoices and unpaid PEPM charges with employers.
• Investigate and resolve billing discrepancies — coverage corrections, double-billing, and refund scenarios — using our billing and Stripe payment records.
• Make independent, judgment-based decisions on collections strategy: when to follow up, elevate, extend flexibility, or involve leadership, balancing collection outcomes with the employer relationship.
• Reconcile billing and payments as part of employer offboarding and churn, ensuring refunds and outstanding balances are resolved before an employer is churned.
• Build out and maintain Standard Operating Procedures (SOPs) for billing and collections, and partner with Engineering to improve our collections tooling as we scale.
• Collaborate with Support, Compliance, Carrier Operations, and Engineering to resolve distinct employer billing needs and flag systemic issues.

Education

Bachelor's degree

Job description

Thatch Health is seeking an Operations Specialist, Billing and Collections in Austin, TX to own the day-to-day resolution of the billing and collections queue, working with employers, carriers, and internal teams to keep premiums current and enrollments accurate.

You will chase overdue invoices, resolve coverage corrections, and determine when to follow up or extend flexibility. This role offers the chance to shape SOPs as we scale and improve tooling with Engineering.