Pivotal Health delivers full-service Independent Dispute Resolution (IDR) technology to help providers recover fair reimbursement with less administrative burden. Backed by Bessemer.
About the role
This role will own critical customer-facing accounting operations, including the advance deposit process, IDRE refunds, applying payments to advance deposit and standard plan customer accounts, and the Finance queue of customer support tickets and refund questions. It will also provide backup coverage across revenue operations, AR, collections, and cash in and cash out. Nearly everything you touch reaches a customer, whether through our systems, through Client Success, or directly. Found on 1752vc Careers, the job board for startup and VC roles.
What they're looking for
- Bachelor’s degree in Accounting (Finance also considered)
- 1–4 years of accounting experience, Big 4 experience preferred (PwC, EY, KPMG, and/or Deloitte)
- Strong Excel skills
- Hands-on experience with an ERP or accounting system such as Rillet, NetSuite, or QuickBooks
- Comfortable with AI tools in your day to day work like Claude
- A clear communicator who can explain accounting details to teammates outside Finance and to customers, we value communication and critical thinking as much as technical experience
More about this role
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.
This role will own critical customer-facing accounting operations, including the advance deposit process, IDRE refunds, applying payments to advance deposit and standard plan customer accounts, and...
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