Staff Accountant, Insurance

Who are we and why should you join us?

BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy in across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution.

As a Staff Accountant, Insurance at BetterHelp, you’ll join a diverse team of licensed clinicians, engineers, product pros, creatives, marketers, and business leaders who share a passion for expanding access to therapy. And as a mental health company, we take employee mental health just as seriously as we do our mission. We seriously invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. 

At BetterHelp, you’ll carve your own path, make an immediate impact, and be challenged every day – with a supportive community behind you the whole way. 

What are we looking for?

We are seeking a Staff Accountant, Insurance  to join our dynamic team in Santa Jose, CA. Reporting to the Controller, this role will handle key general ledger functions—including managing accounts receivable and reconciliation with the RCM system, prepaids, commissions, credit cards, bonuses, provider payments, accruals, and close processes—while also supporting ad-hoc projects. The ideal candidate will bring strong experience in these areas, proficiency in Excel, Google Sheets, and foreign currency accounting, along with excellent analytical, organizational, and collaboration skills. This position offers significant growth potential as the company continues to expand!

What will you do?

• Own the month-end close activities related to revenue and AR, including the preparation, booking, and posting of journal entries.
• Ensure timely and accurate reconciliations of revenue, AR, and related reserve accounts.
• Manage the daily and monthly data transfer from the RCM (Revenue Cycle Management) system to Oracle Cloud ERP, ensuring accurate mapping and classification.
• Perform monthly reconciliations between the RCM system and Oracle for revenue, cash, and AR balances.
• Calculate and book AR reserves and bad debt estimates using historical trends, collection data, and professional judgment.
• Own and execute bank reconciliations, including investigation and resolution of variances, particularly related to healthcare collections.
• Own the provider payment process, including reconciliation and preparation of related journal entries.
• Collaborate with cross-functional teams (e.g., RCM, Finance, and Operations) to ensure accuracy in financial data.
• Prepare monthly accruals for operating expenses and identify unrecorded liabilities.
• Follow up with vendors and suppliers to obtain missing or late invoices and ensure timely recognition of expenses.
• Assist with prepaid expense tracking and amortization schedules.
• Prepare monthly and quarterly balance sheet and income statement fluctuation analysis to support management reporting.
• Assist in preparing schedules for internal and external audit support as needed.
• Support financial reporting requirements and work closely with FP&A for accurate cost center and departmental reporting.
• Process Improvement & Compliance:
• Identify opportunities for process improvements and automation to enhance the efficiency of the revenue and expense accounting processes.
• Ensure compliance with GAAP, internal controls, and company policies.

What will you NOT do?

• You will NOT worry about "runway", "cash left", or "how much time we have until the next round". We have the startup DNA but we're fully backed and funded, all the way to success.
• You will NOT be confined to your "job". You will get involved in product, marketing, business strategy, and almost everything we do.
• You will NOT be bogged down by office politics, ego, or bad attitude. Only positive, pleasure-to-work-with people are allowed here!
• You will NOT get yourself burned out. We work hard but we believe in maintaining a sustainable work/life balance. Really.

Can I work remotely?

Yes. We operate on PST and candidates in any time zone are welcome to apply. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel ex