Pivotal Health

Healthcare

AR/APClerk

$100–115k New York, United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“AR/AP Clerk at Pivotal Health. Skills: AR/AP, Billing, Collections. Own full billing cycle. Drive weekly invoicing”

Industry & Context.

Healthcare
Problems you'll solve

Find issues first

What They're Looking For.

Must Have

3-5 years AR/AP experience, Advanced Excel skills, Comfortable in expense management tools, Familiar with core financial system

Nice to Have

Lived through system migration, Prior experience building processes, Familiarity with healthcare billing, Familiarity with SaaS billing

What You'll Do.

Own full billing cycle

Drive weekly invoicing

Build collections cadence

Follow up on outstanding balances

Maintain outreach rhythm

Process cash receipts

Manage accounts payable

Approve expense reports

Process expense reports

Ensure policy compliance

Ensure proper GL coding

Produce aging summaries

Flag risk proactively

Keep Controller informed

Enforce internal controls

Confirm vendor changes

Review before submitting

Communicate with customers

Reach out on account status

Reach out on open items

Reach out on payment timelines

How You'll Work.

Team & Collaboration

Work with Controller

Communication Scope

Customer communication

Full Job Description

ABOUT PIVOTAL HEALTH Pivotal Health is the leading technology platform that helps healthcare providers get paid fairly in an increasingly complex reimbursement landscape. Today, many providers face persistent underpayment from health insurance companies, despite delivering high-quality care. While processes like IDR (Independent Dispute Resolution) were designed to promote fairness, they’re often administrative-heavy, time-consuming, and difficult to navigate without the right tools. Pivotal Health combines software, data, and service into a seamlessly integrated, AI-driven platform that simplifies these complex reimbursement workflows. We help providers efficiently dispute underpaid claims, reduce administrative burden, and recover the reimbursement they’re entitled to; without adding more work to already stretched teams. Our full-service IDR solution is just the starting point. We’re building solutions that enable providers to operate with clarity, control, and confidence across the reimbursement journey. ABOUT THIS ROLE Pivotal Health is hiring an AR/AP Clerk to join our Accounting team at a real inflection point in our growth. As we've scaled, so has the complexity of our billing, collections, and payables workflows — and we need someone who can own these processes end-to-end without a lot of hand-holding. This role exists because the work is real, the volume is growing, and we need someone who takes genuine pride in keeping the books clean. You'll own the full AR cycle, sending invoices, following up on outstanding balances, processing cash receipts, and making deposits, alongside AP responsibilities including reviewing and approving expense reports and reimbursements through Ramp. You'll set up and maintain a consistent customer outreach cadence, track aging, and report on collection status weekly and monthly. Where most people wait to be told something is wrong, you find it first. If you get satisfaction from a clean AR aging report, aren't afraid to call a c

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