Join Cartwheel to help tackle the student mental health crisis. 

Kids spend most of their days in the classroom. And teachers and staff, who play a vital role in their development, are often the first to notice when something is off. But with 1 in 5 young people struggling with mental health, schools are getting crushed by a downward spiral in student crises and staff burnout.

With large increases in federal funding for schools and the rise of telehealth, schools are reimagining what mental health support can look like. 

Cartwheel is an early-stage startup building technology-enabled mental health services that put schools at the center. We see our role as supporting on-campus counselors, psychologists, and school social workers who see kids every day. Instead of going around them, we collaborate with them. This means: 

  • Earlier intervention
  • Higher student and family engagement in care
  • Better coordination among the trusted adults in a student’s life 

Kids shouldn't just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we're looking for mission-driven teammates to join our team.

ABOUT THE ROLE

Since our founding last spring, we’ve grown to serve more than fifty school districts across six states, providing care to thousands of students and families.

As a Billing Specialist, you will be responsible for the smooth and efficient billing and processing of claims and invoices with our school district partners, health plan partners, and members. You will work closely with our clinical and operations teams to manage billing and invoicing procedures and maintain accurate financial records.  Your attention to detail, excellent organizational skills, and commitment to customer access will contribute to the financial stability and success of Cartwheel as we become the leading partner for schools nationwide in tackling the student mental health crisis.

WHO YOU ARE

  • 2+ years of experience as a billing specialist, payment coordinator, accounts receivable specialist, or a similar role required.
  • 1+ years of behavioral health billing experience required.
  • 1+ years of experience working with Apero preferred.
  • 1+ years of experience working with Healthie EMR preferred.
  • Massachusetts CANS experience preferred.
  • Excellent attention to detail and accuracy in numerical data.
  • Strong organizational and time management skills to handle multiple tasks and deadlines effectively.
  • Strong understanding of billing and invoicing processes.
  • Familiarity with financial software and proficiency in using accounting systems.
  • Excellent communication and interpersonal skills.
  • Knowledge of relevant health care or financial regulations and compliance requirements.
  • Prior experience in the healthcare or mental health industry is a plus.
  • Highly independent, proactive, resilient, and empathetic.

The above is a summary of the role, not an exhaustive list. If you think that you have most of the above but not everything, please apply. We'd love to hear from you.

WHAT YOU’LL DO

CANS Administration:

  • Track intake appointments for students that require a CANS submission.
  • Submit CANS within 30 days of intake.
  • Monitor signed CANS consent forms.
  • Coordinate with internal stakeholders on completed submissions to support billing.
  • Track active students and submit the required 180 days resubmissions.
  • Follow up with clinicians for the CANS assessments and resubmissions.

Billing and Invoicing:

  • Ensure invoices and claims are properly documented, approved, and sent on schedule.
  • Generate accurate and timely invoices for clients and partners.
  • Provide member/insurance revenue management support throughout the revenue cycle, to include but not limited to: Claims Management, Accounts Receivable, Payment Posting and Denials Management

Financial Recordkeeping:

  • Maintain organized financial records, including invoices and bills.
  • Collaborate on reconciling accounts and resolving discrepancies.

Denial Management:

  • Timely follow up with health plan partners on outstanding claims
  • Submission of corrected claims and appeals as applicable.

Collections:

  • Generate member statements and work with members to collect and resolve past due balances.

Reporting and Analysis:

  • Assist in generating regular reports on payment status and financial performance.
  • Analyze data to identify trends and areas for improvement.

Compliance and Documentation:

  • Ensure adherence to financial regulations and policies.
  • Maintain accurate documentation of payment processes.

Customer Success:

  • Provide empathetic and compassionate customer service to families who may be struggling to meet payment obligations.
  • Resolve payment disputes or concerns professionally and courteously.
  • Maintain open communication with providers, payers, and internal stakeholders to resolve insurance eligibility and benefits, as well as claims issues.

LOCATION: Remote with semi-annual in-person retreats in Boston.

WHY YOU’LL LOVE CARTWHEEL

Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you’ll have: 

  • Team-based culture with mission-driven colleagues who will go to bat for you
  • Total cash compensation between $50,000 and $60,000
  • Excellent health insurance
  • Meaningful equity ownership stake
  • 3 weeks of Paid Time Off plus paid office closure between Christmas & New Years
  • Remote work environment with regular in-person team retreats
  • 401K with employer match
  • $500 annual educational stipend
  • Macbook

Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We're committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.

 

Apply for this Job

* Required
resume chosen  
(File types: pdf, doc, docx, txt, rtf)
cover_letter chosen  
(File types: pdf, doc, docx, txt, rtf)


Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

As set forth in Cartwheel’s Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.


Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1
OMB Control Number 1250-0005
Expires 04/30/2026

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

  • Alcohol or other substance use disorder (not currently using drugs illegally)
  • Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
  • Blind or low vision
  • Cancer (past or present)
  • Cardiovascular or heart disease
  • Celiac disease
  • Cerebral palsy
  • Deaf or serious difficulty hearing
  • Diabetes
  • Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
  • Epilepsy or other seizure disorder
  • Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
  • Intellectual or developmental disability
  • Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
  • Missing limbs or partially missing limbs
  • Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
  • Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
  • Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
  • Partial or complete paralysis (any cause)
  • Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
  • Short stature (dwarfism)
  • Traumatic brain injury

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.


Enter the verification code sent to to confirm you are not a robot, then submit your application.

This application was flagged as potential bot traffic. To resubmit your application, turn off any VPNs, clear the browser's cache and cookies, or try another browser. If you still can't submit it, contact our support team through the help center.