Billing Operations Analyst

Elastic, the Search AI Company, enables everyone to find the answers they need in real time, using all their data, at scale — unleashing the potential of businesses and people. The Elastic Search AI Platform, used by more than 50% of the Fortune 500, brings together the precision of search and the intelligence of AI to enable everyone to accelerate the results that matter. By taking advantage of all structured and unstructured data — securing and protecting private information more effectively — Elastic’s complete, cloud-based solutions for search, security, and observability help organizations deliver on the promise of AI. WHAT IS THE ROLE We are looking for a detail-oriented and customer-focused professional to join our Billing team. You will work closely with customers to provide precise and timely invoices while also collaborate with different teams to ensure a smooth billing process end to end.   In this role, you will become an integral part of our team, supporting the essential functions of billing operations and contributing to the overall efficiency of our processes. We're looking for someone who is detail-oriented and enjoys working with numbers, as you'll manage billing data and help ensure accuracy across various platforms. If you're ready to take on a position that allows you to develop your skills in a cooperative environment, we would love to hear from you. WHAT YOU WILL BE DOING * Verify the accuracy of sales orders prior to processing invoices. * Address any discrepancies with customers and coordinate with other departments to address billing issues. * Upload invoices into various portals to ensure proficient operations. * Test automation tools to improve and streamline billing operations. * Collaborate with team members to design and implement process enhancements that boost efficiency. * Manage billing case inquiries and actively track their resolution progress. Analyze case data to identify patterns and recommend improvements. * Collaborate with internal teams to address any questions and document case details to maintain correct records for reporting. * Keeping internal documents up to date and maintenance of internal SOP's WHAT YOU BRING * Bachelor's degree in Finance, Accounting, or a related field * 2+ years with billing operations and invoice processing systems * SFDC and NetSuite experience is a plus * Proficiency in MS Excel or Google Spreadsheet- VLOOKUP, pivot tables, analysis * Accustomed to working with case management system * Experience with customer billing dispute resolution * Ability to co-ordinate with cross-functional teams to optimize process workflows * Proficient communication skills, both verbal and written and attention to detail * Creative problem solving skills * Capacity to work autonomously and prioritize in distributed, dynamic environment   ADDITIONAL INFORMATION - WE TAKE CARE OF OUR PEOPLE As a distributed company, diversity drives our identity. Whether you’re looking to launch a new career or grow an existing one, Elastic is the type of company where you can balance great work with great life. Your age is only a number. It doesn’t matter if you’re just out of college or your children are; we need you for what you can do. We strive to have parity of benefits across regions and while regulations differ from place to place, we believe taking care of our people is the right thing to do. * Competitive pay based on the work you do here and not your previous salary * Health coverage for you and your family in many locations * Ability to craft your calendar with flexible locations and schedules for many roles * Generous number of vacation days each year * Increase your impact - We match up to $2000 (or local currency equivalent) for financial donations and service * Up to 40 hours each year to use toward volunteer projects you love * Embracing parenthood with minimum of 16 weeks of parental leave Different people approach problems differently. We need that. Elastic is an equal opportunity employer and is committed to creating an inclusive culture that celebrates different perspectives, experiences, and backgrounds. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, pregnancy, sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, disability status, or any other basis protected by federal, state or local law, ordinance or regulation. We welcome individuals with disabilities and strive to create an accessible and inclusive experience for all individuals. To request an accommodation during the application or the recruiting process, please email candidate_accessibility@elastic.co. We will reply to your request within 24 business hours of submission. Applicants have rights under Federal Employment Laws, view posters linked below: Family and Medical Leave Act (FMLA) Poster; Pay Transparency Nondiscrimination Provision Poster; Employee Polygraph Protection Act (EPPA) Poster and Know Your Rights (Poster) Elasticsearch develops and distributes technology and information that is subject to U.S. and other countries’ export controls and licensing requirements for individuals who are located in or are nationals of the following sanctioned countries and regions: Belarus, Cuba, Iran, North Korea, Syria, or Russia, including the Ukrainian territories annexed by Russia (The Crimea region of Ukraine, The Donetsk People's Republic (DNR), The Luhansk People's Republic (LNR), Kherson or Zaporizhzhia). If you are located in or are a national of one of the listed countries or regions, an export license may be required as a condition of your employment in this role. Please note that national origin and/or nationality do not affect eligibility for employment with Elastic. Please see here for our Privacy Statement.

Twin Health  At Twin Health, we empower people to improve and prevent chronic metabolic diseases, like type 2 diabetes and obesity, with a new standard of care. Twin Health is the only company applying AI Digital Twin technology exclusively toward metabolic health.  We start by building a dynamic model of each person’s metabolism — drawing on thousands of data points from CGMs, smartwatches, and meal logs — that maps their personal path to better health. Guided by a dedicated clinical care team, our members have lowered their A1C below the diabetes range, achieved lasting weight loss, and reduced or even eliminated medications, all while living healthier, happier lives. Working here  Our team at Twin Health is passionate, talented, and united by a shared purpose: to improve the metabolic health and happiness of our members. We believe in empowering every Twin to make a meaningful impact for our members, our clients, and each other, while enjoying a supportive, collaborative work environment. Twin has been recognized not only for our innovation but also for our culture, including: Innovator of the Year by the Employer Health Innovation Roundtable (EHIR), selected to CB Insights’ Digital Health 150, and named one of Newsweek’s Top Most Loved Workplace® . With more than $100 million raised in recent funding, including a $53 million Series E round in 2025 led by Maj Invest, and a $50 million investment in 2023 led by Temasek, Twin is scaling rapidly across the U.S. and globally. Backed by leading venture firms like ICONIQ Growth, Sequoia, Sofina, Temasek, and Peak XV, we are building the most impactful digital health company in the world. Join us as we reinvent the standard of care in metabolic health.  Opportunity Twin Health is hiring an experienced Senior Revenue Cycle Analyst to support our rapid expansion and billing operations. The ideal candidate will manage the full revenue cycle, overseeing daily billing, including payer account management to minimize claims issues, and leading the billing setup for new customers. The role requires strong customer service and collaboration with internal partner success teams to meet customer billing needs.The ideal candidate is deeply detail-oriented, exceptionally comfortable navigating data ambiguity, and highly skilled in high-volume cash posting and ledger reconciliation. You must be capable of identifying operational and posting risks,resolving cross-system balancing variances early without close supervision. We are looking for a highly autonomous, results-driven professional who thrives in a fast-paced, high-volume environment. You will be expected to operate with a high degree of independence, navigating complex billing landscapes and project needs. Responsibilities  * Full-Cycle AR Management: Oversee the end-to-end accounts receivable process, including claim follow-up, status inquiries, and comprehensive management of rejections, denials, and corrected claims. * Strategic Partner Liaison: Serve as the primary interface for external partners, leading difficult conversations regarding account discrepancies and financial disputes with diplomacy and professional resilience. * Cross-System Reconciliation: Reconcile customer accounts, payment applications, and offsets across NetSuite and billing systems (Candid), ensuring 100% transactional accuracy and immediate resolution of balancing variances. * Data Integrity & Risk Mitigation: Enforce rigorous sub-ledger data standards and proactively isolate high-impact downstream data risks to prevent operational bottlenecks. * Analytical Problem Solving: Navigate ambiguity by diagnosing billing discrepancies and compiling clear, actionable summaries for leadership, operating effectively without reliance on step-by-step guidance. * Trend Analysis & Reporting: Analyze payer-specific reimbursement trends to identify and report critically on payment issues, underpayments, and systemic errors. * Cross-Functional Translation: Convert complex medical billing, denial, and reimbursement issues into clear, actionable insights for non-billing stakeholders to ensure strategic alignment. * High-Velocity Execution: Manage a demanding, fast-paced workload with independent prioritization, ensuring strict adherence to daily posting activities and critical month-end deadlines. * Process Evolution: Act as a subject matter expert, refining internal billing guidelines and establishing new processes where gaps exist to drive continuous improvement in revenue cycle performance. * Account Maintenance & Adjustments: Monitor credit balances for timely refunds and propose write-offs or bad debt adjustments in strict accordance with payer policies. * Lead Onboarding & Partner Setup Calls: Facilitate technical setup calls with new health plans and partners to align on billing expectations, establish operational workflows, and ensure launch readiness. * Ensure Operational Readiness for Seamless Billing: Validate invoicing and claims integrations prior to launch to guarantee error-free submission and timely payment processing. * Proactively Prevent & Resolve Payment Blockers: Identify potential billing bottlenecks during onboarding and coordinate directly with payer contacts to establish clear resolution pathways before issues arise. * Other duties as assigned Qualifications  * Revenue Cycle Expertise: 5+ years of experience in healthcare revenue cycle management, with comprehensive knowledge of commercial and government payer policies, CPT/HCPCS/ICD-10 coding, and EOB reconciliation. * Billing Operations: Proficiency in B2B and patient billing/collections, paired with technical literacy in MS Office and Google Workspace. * Operational Autonomy: Proven track record of managing high-velocity, complex workloads independently. Ability to navigate ambiguity and create processes from scratch without reliance on existing SOPs. * Strategic Communication: Exceptional ability to lead high-stakes, external partner meetings and translate complex billing issues into clear insights for non-billing stakeholders. * Execution & Accuracy: Demonstrated success in prioritizing competing deadlines while maintaining 100% data accuracy and high execution velocity. * Excellent problem-solving skills with the ability to manage multiple priorities completely independently without sacrificing accuracy or execution velocity.  * Proven track record of managing a heavy workload and tight deadlines independently, with a high degree of comfort in ambiguity and a demonstrated ability to create processes where none exist. Preferred Qualifications:  * Startup & Project Management: Background in high-growth healthcare startups, with experience coordinating data-driven reconciliation or onboarding projects. * Systems Power-User: Hands-on experience executing complex, cross-system ledger reconciliations using platforms such as NetSuite, LightDash, and standard Revenue Cycle platforms. * Direct experience executing and troubleshooting cash application, payment posting, and cross-system ledger reconciliation workflows, with hands-on proficiency navigating NetSuite databases for data integrity and sub-ledger matching alongside LightDash and standard Revenue Cycle platforms.  * Background in managing data-driven reconciliation or onboarding projects  * This remote opportunity based out of the U.S. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time. Compensation and Benefits    The compensation range for this position is $80,000 - $95,000 annually.  Twin has an ambitious vision to empower people to live healthier and happier lives, and to achieve this purpose, we need the very best people to enhance our cutting-edge technology and medical science, deliver the best possible care, and turn our passion into value for our members, partners and investors. We are committed to delivering an outstanding culture and experience for every Twin employee through a company based on the values of passion, talent, and trust. We offer comprehensive benefits and perks in line with these principles, as well as a high level of flexibility for every Twin * A competitive compensation package in line with leading technology companies * A remote and accomplished global team * Opportunity for equity participation  * Unlimited vacation with manager approval * 16 weeks of 100% paid parental leave for delivering parents; 8 weeks of 100% paid parental leave for non-delivering parents * 100% Employer sponsored healthcare, dental, and vision for you, and 80% coverage for your family; Health Savings Account and Flexible Spending Account options * 401k retirement savings plan Salary range for US jobs US Salary Range $80,000—$95,000 USD We have been made aware of fraudulent interview requests being sent using the Twin Health's name. All communications will come from official Twin Health channels and a twinhealth.com [http://twinhealth.com/] email address. We will never ask you to complete a text interview or request financial details during the interview process.