Staff Accountant

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 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, 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 to join our dynamic team in San Jose, CA. Reporting to the Accounting Manager, this role will own key general ledger functions and play an integral part in the month-end close process. The position will also support healthcare revenue cycle accounting, including claims billing analysis and payment reconciliations.

This role offers significant growth potential as the company continues to expand. The ideal candidate brings strong general ledger experience, analytical rigor, proficiency in Excel and Google Sheets, and the ability to collaborate cross-functionally in a fast-paced environment.

What will you do?

• Prepare and record month-end accruals, commissions, bonuses, and provider payment entries.
• Own prepaid expense schedules and complete monthly reconciliations.
• Record and reconcile corporate credit card transactions, maintaining accurate documentation.
• Perform month-end, quarter-end, and year-end close procedures, including journal entries and account reconciliations.
• Collaborate with the Cash Application team to ensure accurate recording of receivables and timely resolution of open transactions prior to close.
• Review and analyze healthcare claims billing activity to ensure accurate revenue recognition and accounts receivable recording.
• Investigate billing discrepancies by reviewing clearinghouse reports and payer communications.
• Retrieve and analyze Electronic Remittance Advices (ERAs) to reconcile payments, contractual adjustments, denials, and outstanding balances.
• Partner with Revenue Cycle, Billing, and Cash Application teams to resolve variances between claims submitted, payments received, and recorded revenue.
• Support accounts payable operations, including managing the AP inbox and assisting with related tasks as needed.
• Partner with Procurement to ensure proper expense coding and provide accounting guidance as needed.
• Prepare monthly and quarterly balance sheet and income statement fluctuation analyses for management reporting.
• Assist with audit and SOX compliance by preparing required schedules and documentation.
• Support foreign currency accounting, including inter-company and international transactions.
• Identify and implement automation and process improvement opportunities.
• Assist with special projects and ad hoc assignments as needed.

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

Requirements

• 3–5 years of progressive accounting experience.
• Strong understanding of GAAP and core accounting principles.
• Experience with general ledger accounting and month-end close processes.
• Working knowledge of healthcare revenue cycle processes, including claims submission, payer adjudication, and remittance processing.
• Experience reviewing clearinghouse reports and analyzing Electronic Remittance Advices (ERAs) to identify payment discrepancies, denials, and adjustments.
• Understanding of revenue recognition within a healthcare fee-for-service environment.
• Familiarity with tangible and intangible assets, including amortization.
• Experience with foreign currency accounting is preferred.
• Solid understanding of fair credit practices and collection regulations.
• Proficiency in Excel, Google Sheets, and Google Drive.
• Strong analytical and mathematical skills with the ability to work with large datasets.
• Excellent time management, organization, and attention to detail.
• Ability to maintain confidentiality of company and partner information.
• Strong collaboration, communication, and customer service orientation

Bonus (nice to have):

• Previous startup experience 
• Previous experience in the healthcare industry
• Experience with Oracle Cloud ERP or similar financial systems strongly preferred.

Benefits

• 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 $70,000 - $100,000. 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 2026. 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.