Accounts Receivable & Inpatient Financial Coordinator

Ethos Veterinary Health•Woburn, MA

3d•$22 - $28•Onsite

About The Position

This role handles the hospital’s Accounts Receivable work and supports inpatient financial coordination. Responsibilities include daily AR follow-up, payment processing, reporting, and invoice review. The role works closely with clients, insurance partners, medical teams, and front desk staff to support clear communication and financial transparency. It is intended to carry the full day-to-day AR workload, with leadership support involved only when escalation is needed.

Requirements

Bachelor’s degree preferred; equivalent professional experience will be considered.
Prior clinical, veterinary, or healthcare administration experience required.
Ability to work prolonged hours on a computer and phone.
Strong ability to manage a full workload independently and prioritize competing deadlines.
High attention to detail and accuracy with financial data.
Comfortable reviewing complex invoices and identifying discrepancies.
Clear, professional written and verbal communication skills.
Proficient in Microsoft Outlook, Teams, Word, and Excel.
Calm and steady in difficult conversations

Responsibilities

Run daily AR reports and independently follow up on unpaid or partially paid balances.
Manage unapplied payments and credits through resolution.
Send 30/60/90-day balance letters.
Conduct balance-due phone calls and texts with clients.
Track, review, and manage Trupanion claims and payments on a daily basis.
Investigate and resolve weekly Trupanion discrepancies and issue lists.
File and manage Trupanion appeals.
Serve as the primary contact for Trupanion communication and ongoing workflow improvements.
Process refund check submissions and track through completion.
Manage collections processes, including TSI invoicing, chargebacks, disputes, and returned checks.
Manage NRB-related financial follow-up.
Manage employee financials, including statements, balances over 90 days, and payroll deductions.
Submit regular AR totals and summaries to leadership, including client, employee, and credit balances.
Serve as the primary point of contact for routine corporate finance requests, corrections, and reporting.
Complete end-of-month financial processes, including finance boxes, promissory note folders, and CareCredit/Scratchpay/Wells Fargo reports.
Complete new routine financial-related tasks or requests from corporate finance as assigned.
Monitor inpatient balances and proactively alert teams when follow-up is needed.
Oversee financial-related items within the callback system and resolve or escalate appropriately.
Provide daily and weekly reporting on inpatient invoicing trends, risks, and improvement opportunities.
Review inpatient invoices prior to discharge to confirm accuracy and completeness. Identify underbilling or overbilling, correct when appropriate, and escalate discrepancies when needed.
Provide financial process training for new Client Care hires.
Participate in process improvement discussions related to billing accuracy, AR efficiency, and financial communication.

Benefits

Professional Development & Certification Support
CE Allowance + Access to VetBloom for RACE-approved courses
RECOVER Training
16-Week VTNE Study Group Program + One-time VTNE Reimbursement
License application/renewal reimbursement for CVTs
VTS financial support and onsite mentorship
Partnership with veterinary technology programs, including scholarship opportunities
Vacation = 3 weeks per year (increases with tenure at Ethos!)
Sick Time = 1 week per year
Holiday pay = DOUBLE TIME
Medical, Dental, and Vision Insurance
Short- and Long-Term Disability
Life Insurance
401(k) with discretionary match
Uniform Allowance
Employee Pet Discount