Staff Accountant, Insurance

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. 

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!

• 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.

• 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.

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 expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.

• Bachelor’s degree in Accounting, Finance, or a related field.
• 2–4 years of relevant accounting experience in a healthcare and SaaS environment.
• Strong understanding of revenue recognition principles (ASC 606) and accrual accounting.
• Proficiency in Excel, including working with large data sets and pivot tables.
• Excellent organizational skills, attention to detail, and ability to manage multiple priorities.
• Strong written and verbal communication and collaboration skills with the ability to work cross-functionally.

• Experience with Oracle Cloud ERP or similar financial systems strongly preferred.

• Remote work with regular in-person bonding experiences sponsored by the company
• Competitive compensation 
• Holistic perks program (including free therapy, employee wellness, and more)
• Excellent health, dental, and vision coverage
• 401k benefits with employer matching contribution
• The chance to build something that changes lives – and that people love
• Any piece of hardware or software that will make you happy and productive
• An awesome community of co-workers

The base salary range for this position is $75,000 - $110,000. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2025. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.

At BetterHelp we thrive on difference and individuality, and as part of the Teladoc Health family, we are proud to be an Equal Opportunity Employer. We never have and never will discriminate against any job candidate or employee due to age, race, ethnicity, religion, sex, color, national origin, gender, gender identity, sexual orientation, medical condition, marital status, parental status, disability, or Veteran status.