Financial Operator (Accounting, Billing & Payroll)

About Us

Aura Behavioral Health is a clinician-led organization providing evidence-based ABA therapy to children with autism. We are grounded in purpose, precision, and integrity. We’re seeking a proactive team member with strong accounting fundamentals and analytical thinking to manage core financial workflows. This role is ideal for someone who values clarity, problem-solving, and structured growth in healthcare finance operations. Position Overview The Financial Operator is responsible for ensuring financial accuracy across billing, payroll, and bookkeeping systems. With automated time tracking, electronic remittance posting (ERA), and standardized report templates already in place, this role is built for someone who can execute with consistency and use data to support decisions. This position involves regular collaboration with leadership to support financial planning, accuracy, and operational efficiency. We use CentralReach for practice management, QuickBooks Online for accounting, and Gusto for payroll. Robust training is provided on CentralReach for candidates who are new to the system.

Key Responsibilities

• Maintain accurate financial records using QuickBooks Online
• Oversee accounts payable and receivable processes
• Submit and track insurance claims; resolve denials and monitor reimbursement timelines
• Reconcile ERAs and EOBs; manage aging reports and outstanding claims
• Prepare invoices for insurance payers and private-pay families
• Process semi-monthly payroll through Gusto, ensuring accuracy in hours, PTO, and deductions
• Generate and analyze monthly billable productivity reports for staff using CentralReach
• Compile and interpret quarterly financial reports for internal planning and compliance
• Assist in creating and maintaining departmental and company-wide budgets in collaboration with leadership
• Provide EOB and payment summary data to the Client Care Coordinator, who communicates directly with families
• Apply critical thinking to detect billing or financial discrepancies and propose actionable solutions
• Communicate clearly and professionally when sharing financial data or collaborating across departments
• Provide billing and payment data to the Client Care Coordinator to support accurate and timely communication with clients
• Support internal audits, CPA reviews, and financial recordkeeping standards
• Recommend improvements to financial workflows using available systems and data
• Complete special projects as directed by the CEO
• Other duties as assigned

Required Qualifications

• Associate’s degree in Accounting, Finance, or a related field (or equivalent experience)
• 2+ years of bookkeeping or accounting experience
• 1+ years of medical billing experience (ABA billing strongly preferred)
• Experience with QuickBooks Online and proficiency in Microsoft Teams, Excel, and the broader Microsoft Office Suite
• Experience with payroll systems like Gusto, ADP, or Paychex
• Strong critical thinking and data analysis skills
• High level of integrity and confidentiality with financial and medical information
• Analytical mindset – able to interpret financial trends and data patterns
• Critical thinker – evaluates problems thoroughly and identifies practical solutions
• Disciplined and self-managed – consistently meets deadlines and tracks details without micromanagement

Preferred Skills & Attributes

• Experience with CentralReach (training provided if needed)
• Familiarity with CPT codes, ERA processing, and insurance claim cycles
• Strong written documentation and internal communication skills
• Willing to take entrance exam to demonstrate core competencies in accounting principles

Compensation & Benefits

• $26–$32/hour depending on experience
• Flexible scheduling; hybrid or remote work option for qualified candidates
• Generous paid time off including personal and sick time and paid holidays
• Supportive, mission-driven team culture
• Opportunity to grow into higher roles as company scales

Work Authorization/Security Clearance Must pass a criminal history background check and drug screening. Work Environment: This role is based in Sacramento, CA and requires at least 2–3 days per week in-office, with remote flexibility for focused, independent tasks. What's Next? Please submit your resume and a brief cover letter highlighting your experience, analytical strengths, and interest in financial operations within a healthcare setting. Bonus points if you share an example of how you’ve used data to solve a financial or billing issue. Aura Behavioral Health, LLC does not discriminate in employment with regard to race, creed, national origin, political affiliation, marital status, age, gender, sexual orientation, or number of dependents. As part of the Aura Behavioral Health, LLC team, no provider or employee shall aid, coerce, or conspire to cause a termination or resignation of another employee because of illegal discriminatory factors. Apply tot his job Apply To this Job