Payments Associate

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health.  

We are seeking a detail-oriented Payments Associate to join the Noctrix Health Billing & Collections team. This position is responsible for the accurate and timely processing, posting, and reconciliation of reimbursement payments and related financial transactions.

The ideal candidate has experience in medical billing or health insurance and brings exceptional attention to detail when working with payments, adjustments, Explanation of Benefits (EOBs), and financial records. This individual will work closely with Billing & Collections, Finance, and Accounting to ensure payments are accurately recorded, discrepancies are resolved, and financial information remains complete and reliable.

This is a full-time, hybrid position based in Pleasanton, CA, requiring a minimum of three days onsite per week. The role may be filled either as a regular full-time position or as a full-time temporary-to-hire opportunity, depending on business needs and candidate experience. Candidates hired on a temporary basis will be considered for conversion to regular full-time employment based on performance, business needs, and continued role availability.

Responsibilities

Accurately post reimbursement payments, contractual adjustments, denials, and other payment-related transactions to patient accounts

Review EOBs and other payer documentation to ensure payments, adjustments, and claim statuses are accurately recorded

Reconcile daily bank deposits, ACH transactions, credit card payments, and other payment activity against billing system transaction reports

Investigate and resolve misapplied payments, unapplied cash, payment discrepancies, and other reconciliation issues

Process virtual payment cards and ensure transactions are accurately recorded and reconciled

Organize and distribute payment checks, virtual payment information, and related documentation to Accounting and Billing team members for appropriate processing

Retrieve, scan, upload, and appropriately distribute incoming payer claims correspondence and reimbursement documentation

Maintain accurate patient, payment, claim, and reimbursement information within billing and patient documentation systems

Generate payment and reconciliation reports for management review

Partner with Finance and Accounting to investigate and resolve payment or reconciliation discrepancies

Support month-end close activities by providing payment reconciliation, reporting, and supporting documentation

Assist with discrepancies identified by Finance or Accounting during month-end close and reconciliation activities

Maintain organized and complete documentation to support payment processing, reconciliation, and audit readiness

Assist with billing compliance initiatives, regulatory inspections, audits, and related documentation requests

Identify recurring payment discrepancies or process issues and escalate trends and opportunities for improvement

Collaborate with Billing & Collections, Finance, Accounting, and other cross-functional stakeholders to resolve payment-related issues

Handle patient and reimbursement information in accordance with HIPAA, applicable billing regulations, insurance requirements, and company policies

Maintain a high degree of accuracy and productivity while managing multiple payment and administrative workflows in a fast-paced environment

Requirements

1+ year of experience in a medical billing office, healthcare reimbursement, health insurance, revenue cycle, or related healthcare environment

Experience processing or posting medical reimbursement payments, adjustments, or related financial transactions

Familiarity with medical billing systems and healthcare reimbursement workflows

Experience reviewing insurance Explanation of Benefits (EOBs) and contractual adjustments

Understanding of payment reconciliation and the ability to identify and resolve discrepancies

Strong Microsoft Excel or spreadsheet skills

High degree of accuracy in data entry and financial calculations

Strong attention to detail and ability to work accurately with high-volume financial and patient information

Strong organizational and administrative skills

Understanding of HIPAA and applicable healthcare privacy requirements

Ability to independently prioritize and manage multiple responsibilities and deadlines

Strong written and verbal communication skills

Ability to collaborate effectively with Billing, Finance, Accounting, and other cross-functional stakeholders

Ability to work effectively in a fast-paced, high-growth environment

Preferred Qualifications

Experience with NikoHealth, Brightree, or similar medical billing and revenue cycle systems

Experience posting and reconciling payer reimbursement payments

Experience processing virtual payment cards, ACH transactions, checks, and credit card payments

Experience investigating unapplied cash, misapplied payments, and payment discrepancies

Experience supporting month-end close and reconciliation activities

Experience generating payment or reconciliation reports

Experience supporting healthcare billing audits, regulatory inspections, or compliance activities

Experience within DME, medical device, or healthcare reimbursement

Experience working within a startup or rapidly growing healthcare organization

Compensation

Regular Full-Time Base Pay: $50,000–$60,000 per year

Temporary Hourly Pay: $24–$29 per hour

Annual Bonus Eligibility for regular full-time employees, including eligible employees following conversion