# Staff Software Engineer, Accounts & Ledgering at Athelas

- Company: Athelas
- What the company does: Athelas is the AI-driven RCM, EHR, and ambient AI platform to grow your healthcare business. Backed by General Catalyst and Y Combinator.
- Company website: https://www.athelas.com/
- Type: Startups (AI role)
- Level: Senior
- Location: Mountain View, CA
- Work setup: Remote
- Pay: $210K to $275K base salary per year (USD)
- Posted: 2026-07-20
- Apply by: 2026-10-08
- Apply: https://jobs.ashbyhq.com/Commure/90ae40c9-4a80-43da-9a41-df7a3fd99020
- Page: https://www.1752.vc/careers/jobs/athelas-staff-software-engineer-accounts-and-ledgering/

## About the role

We're hiring a Staff Software Engineer to own the accounts and ledgering spine of our RCM platform. This is the path from "insurance paid us" to "the books balance, the patient knows what they owe, and leadership can trust the numbers."

## What they're looking for

- 8+ years building software, with a track record of Staff-level work, architecture ownership, mentoring, cross-team influence
- Strong backend engineering (Python preferred) and deep experience with relational databases at scale: query performance, ACID transactions, safe migrations, data integrity
- Real experience designing or operating financial systems, payments, billing, reconciliation, accounting, or ledgers. You get double-entry accounting, append-only ledgers, idempotency, reversals, and why balances need to be derived from immutable history
- You've shipped production systems with observability, alerting, and incident response practices, especially for high-stakes workflows
- Strong communication and collaboration skills. You can work with ops and customers when correctness matters
- Healthcare RCM, patient accounting, insurance remittance (835/ERA), AR aging, or practice-management billing

Tags: Engineering