Job Description

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Billing Operations Associate

Bring precision and consistency to athenahealth’s billing operations by helping ensure invoices and revenue recognition are complete, accurate, and aligned with customer contracts. This Associate-level role is based in Chennai, India and is a Hybrid position. You will support day-to-day billing activities, help resolve invoice-related issues, and contribute to strong financial controls and customer experience. This role reports to the Accounting Manager

Team Summary:
The Billing Operations team is responsible for processing client invoices accurately and on time, supporting compliant revenue recognition, and maintaining strong operational controls across the billing lifecycle. The team works closely with internal partners across Sales/Sales Operations, Legal, Customer Success, IT, and Finance to support contract execution, billing accuracy, and issue resolution. In this role, you will contribute to best practices that improve billing quality, strengthen cross-functional coordination, and support timely communication with both internal and external stakeholders. The team’s work is essential to supporting client satisfaction, reducing billing issues, and maintaining the financial health of athenahealth.

Essential Job Responsibilities:

• Review customer contracts, billing inputs, and supporting documentation to help ensure invoices are complete, accurate, and compliant with contract terms.
• Prepare and process recurring and non-recurring invoices in accordance with established billing schedules and controls.
• Validate revenue recognition inputs and assist with ensuring revenue is recorded accurately and in alignment with policy and contract requirements.
• Investigate billing discrepancies, invoice exceptions, and customer inquiries, and partner with internal teams to resolve issues in a timely manner.
• Maintain accurate billing records, supporting documentation, and audit-ready files for assigned accounts and transactions.
• Coordinate with Sales/Sales Operations, Legal, Customer Success, IT, and Finance to clarify contract terms, resolve billing dependencies, and support process continuity. Monitor billing activity, aging items, and open issues to help identify trends, risks, and opportunities for process improvement.
• Apply AI-enabled tools and approved automation features to help organize billing data, draft routine communication, and improve efficiency while following internal controls and reviewing outputs carefully. Support month-end, quarter-end, and year-end close activities related to billing and revenue recognition.
• Escalate material contract, billing, or revenue recognition concerns to the appropriate leader for review and guidance.

Additional Job Responsibilities:

• Assist with documentation updates for billing procedures, process changes, and internal reference materials.
• Participate in testing or validation activities for billing system changes, process enhancements, or workflow updates.
• Help prepare reporting or summaries related to billing status, open items, and transaction activity. Contribute to training or knowledge-sharing efforts within the team as processes evolve.
• Support special projects related to billing operations, contract review, or revenue process improvements. Partner on ad hoc requests from leadership related to billing analysis or operational support.

Expected Education & Experience:

• Bachelor’s degree in Accounting, Finance, Business Administration, or a related field, or equivalent practical experience.
• 4 to 9 years of experience in billing operations, accounts receivable, revenue operations, or a related finance function.
• Experience ensuring invoicing and revenue recognition are complete, accurate, and compliant with customer contracts.
• Knowledge of billing processes, revenue recognition concepts, and financial controls.
• Experience working with cross-functional teams such as Sales, Legal, Customer Success, IT, and Finance.
• Ability to review contracts, interpret billing terms, and apply them to invoice preparation and revenue activities.
• Proficiency with Excel and financial or ERP systems used for billing and reporting. Strong communication skills with the ability to document issues clearly and coordinate resolution across teams.
• Experience in a hybrid work environment and ability to collaborate effectively with distributed teams.

About athenahealth

Our vision: In an industry that becomes more complex by the day, we stand for simplicity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients — powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Our company culture: Our talented   employees — or athenistas, as we call ourselves — spark the innovation and passion needed to accomplish our vision. We are a diverse group of dreamers and do-ers with unique knowledge, expertise, backgrounds, and perspectives. We unite as mission-driven problem-solvers with a deep desire to achieve our vision and make our time here count. Our award-winning culture is built around shared values of inclusiveness, accountability, and support.

Our DEI commitment: Our vision of accessible, high-quality, and sustainable healthcare for all requires addressing the inequities that stand in the way. That's one reason we prioritize diversity, equity, and inclusion in every aspect of our business, from attracting and sustaining a diverse workforce to maintaining an inclusive environment for athenistas, our partners, customers and the communities where we work and serve.

What we can do for you:

Along with health and financial benefits, athenistas enjoy perks specific to each location, including commuter support, employee assistance programs, tuition assistance, employee resource groups, and collaborative   workspaces  — some offices even welcome dogs.

We also encourage a better work-life balance for athenistas with our flexibility. While we know in-office collaboration is critical to our vision, we recognize that not all work needs to be done within an office environment,  full-time. With consistent communication and digital collaboration tools, athenahealth  enables  employees to find a balance that feels fulfilling and productive for each individual situation.

In addition to our traditional benefits and perks, we sponsor events throughout the year, including book clubs, external speakers, and hackathons. We provide athenistas with a company culture based on learning, the support of an engaged team, and an inclusive environment where all employees are valued.

Learn more about our culture and benefits here: athenahealth.com/careers

https://www.athenahealth.com/careers/equal-opportunity