If you’re the type who can spot an invoice issue from a mile away and you get a weird satisfaction from closing the loop on AR, Carrum will love you. This role sits at the center of a mission to make healthcare pricing and billing make sense, without the “surprise bill” chaos.
About Carrum Health
Carrum is a health tech company that helps employers and patients access high-quality care through a national Centers of Excellence network. They’ve raised over $96M, were featured in a RAND study and a Harvard Business School case study, and operate remote-first with offices in San Francisco and Chicago.
Schedule
- Full-time
- Remote-first (U.S.), with optional hybrid in the San Francisco Bay Area
- Typical 40-hour week (flexible, startup environment)
- Salary range: $85,000–$110,000 + equity + annual bonus (varies by location and experience)
What You’ll Do
- Own Accounts Receivable and manage the full billing cycle (charge entry through collections follow-up)
- Maintain accurate customer contact and pricing records
- Triage and resolve client billing questions and disputes
- Review and reconcile invoice discrepancies to keep accounts current
- Partner with and review work from a third-party billing vendor, resolving inconsistencies as needed
- Process invoices and payments for partnerships and other charges
- Help ensure invoicing accuracy across the company and its customers
- Suggest and implement process improvements to increase efficiency and scalability
- Support system implementations and policy rollouts
- Handle other accounting duties as assigned and jump into ad-hoc projects as needed
What You Need
- Proven experience as a Billing Specialist (or similar AR-focused role)
- 5+ years of overall work experience (healthcare experience is a plus)
- Solid understanding of accounts receivable and collections workflows
- Strong command of Google Suite, Excel, and NetSuite
- High accuracy, strong organization, and time management skills
- Ability to work independently and stay sharp under pressure
- Strong written and verbal communication skills
- Comfort handling confidential information
- Startup mindset: adaptable, proactive, accountable, and solutions-oriented
Benefits
- Stock option plan
- Flexible schedules and remote work
- Self-managed vacation days (within reason)
- Paid parental leave
- Medical, dental, and vision insurance
- 401(k) retirement plan
- Chicago and San Francisco offices available
- DEIJ committee + employee resource groups (ERGs)
- Remote-first culture with opportunities to connect virtually and in person
This is one of those rare billing roles where “detail-oriented” actually matters because your work directly impacts real people getting care without getting wrecked financially.
Happy Hunting,
~Two Chicks…