---
title: 'Payments Associate at Noctrix Health'
canonical: 'https://feeny.ai/job/payments-associate-noctrix-health-pleasanton-4f0515fff7gc'
type: 'job'
last_seen: '2026-11-06'
---

# Payments Associate at Noctrix Health

- **Company:** Noctrix Health
- **Location:** Pleasanton, CA
- **Posted:** 2026-09-15
- **Last confirmed live:** 2026-11-06
- **Apply:** https://job-boards.greenhouse.io/noctrixhealth/jobs/5423691008

## Job description

Noctrix Health is redefining the treatment of chronic neurological disorders with clinically validated therapeutic wearables. Our team of medical device specialists, neuroscientists, and consumer electronics engineers is dedicated to delivering prescription-grade therapy with an outstanding user experience. We have pioneered the world’s first drug-free wearable therapy, clinically proven to alleviate symptoms in adults with drug-resistant Restless Legs Syndrome (RLS). Be part of our mission to transform healthcare, improve lives, and drive meaningful change with Noctrix Health.

We are seeking a detail-oriented Payments Associate to join the Noctrix Health Billing & Collections team. This position is responsible for the accurate and timely processing, posting, and reconciliation of reimbursement payments and related financial transactions.

The ideal candidate has experience in medical billing or health insurance and brings exceptional attention to detail when working with payments, adjustments, Explanation of Benefits (EOBs), and financial records. This individual will work closely with Billing & Collections, Finance, and Accounting to ensure payments are accurately recorded, discrepancies are resolved, and financial information remains complete and reliable.

This is a full-time, hybrid position based in Pleasanton, CA, requiring a minimum of three days onsite per week. The role may be filled either as a regular full-time position or as a full-time temporary-to-hire opportunity, depending on business needs and candidate experience. Candidates hired on a temporary basis will be considered for conversion to regular full-time employment based on performance, business needs, and continued role availability.

## Responsibilities

- Accurately post reimbursement payments, contractual adjustments, denials, and other payment-related transactions to patient accounts
- Review EOBs and other payer documentation to ensure payments, adjustments, and claim statuses are accurately recorded
- Reconcile daily bank deposits, ACH transactions, credit card payments, and other payment activity against billing system transaction reports
- Investigate and resolve misapplied payments, unapplied cash, payment discrepancies, and other reconciliation issues
- Process virtual payment cards and ensure transactions are accurately recorded and reconciled
- Organize and distribute payment checks, virtual payment information, and related documentation to Accounting and Billing team members for appropriate processing
- Retrieve, scan, upload, and appropriately distribute incoming payer claims correspondence and reimbursement documentation
- Maintain accurate patient, payment, claim, and reimbursement information within billing and patient documentation systems
- Generate payment and reconciliation reports for management review
- Partner with Finance and Accounting to investigate and resolve payment or reconciliation discrepancies
- Support month-end close activities by providing payment reconciliation, reporting, and supporting documentation
- Assist with discrepancies identified by Finance or Accounting during month-end close and reconciliation activities
- Maintain organized and complete documentation to support payment processing, reconciliation, and audit readiness
- Assist with billing compliance initiatives, regulatory inspections, audits, and related documentation requests
- Identify recurring payment discrepancies or process issues and escalate trends and opportunities for improvement
- Collaborate with Billing & Collections, Finance, Accounting, and other cross-functional stakeholders to resolve payment-related issues
- Handle patient and reimbursement information in accordance with HIPAA, applicable billing regulations, insurance requirements, and company policies
- Maintain a high degree of accuracy and productivity while managing multiple payment and administrative workflows in a fast-paced environment

## Requirements

- 1+ year of experience in a medical billing office, healthcare reimbursement, health insurance, revenue cycle, or related healthcare environment
- Experience processing or posting medical reimbursement payments, adjustments, or related financial transactions
- Familiarity with medical billing systems and healthcare reimbursement workflows
- Experience reviewing insurance Explanation of Benefits (EOBs) and contractual adjustments
- Understanding of payment reconciliation and the ability to identify and resolve discrepancies
- Strong Microsoft Excel or spreadsheet skills
- High degree of accuracy in data entry and financial calculations
- Strong attention to detail and ability to work accurately with high-volume financial and patient information
- Strong organizational and administrative skills
- Understanding of HIPAA and applicable healthcare privacy requirements
- Ability to independently prioritize and manage multiple responsibilities and deadlines
- Strong written and verbal communication skills
- Ability to collaborate effectively with Billing, Finance, Accounting, and other cross-functional stakeholders
- Ability to work effectively in a fast-paced, high-growth environment

## Preferred Qualifications

- Experience with NikoHealth, Brightree, or similar medical billing and revenue cycle systems
- Experience posting and reconciling payer reimbursement payments
- Experience processing virtual payment cards, ACH transactions, checks, and credit card payments
- Experience investigating unapplied cash, misapplied payments, and payment discrepancies
- Experience supporting month-end close and reconciliation activities
- Experience generating payment or reconciliation reports
- Experience supporting healthcare billing audits, regulatory inspections, or compliance activities
- Experience within DME, medical device, or healthcare reimbursement
- Experience working within a startup or rapidly growing healthcare organization

## Compensation

- Regular Full-Time Base Pay: $50,000–$60,000 per year
- Temporary Hourly Pay: $24–$29 per hour
- Annual Bonus Eligibility for regular full-time employees, including eligible employees following conversion

## About Noctrix Health

## Company Overview
- **One-liner**: Noctrix Health develops clinically validated wearable neuromodulation devices as non-pharmaceutical alternatives for managing chronic neurological disorders, starting with Restless Legs Syndrome (RLS).
- **Entity Type**: Private (Acquired by ResMed in May 2026 for $340M)
- **Headquarters**: Pleasanton, California, United States
- **Founded**: 2018
- **Founders**: Jonathan Charlesworth (CSO), Justin Kelly (SVP, Product), Steve Lien (SVP, Patient Access), Shriram Raghunathan (CEO)

## Core Business
- **Primary industry/industries**: Medical Device Manufacturing, Neuromodulation, Wearable Therapeutics, Sleep Health
- **Target customers**: B2B (healthcare providers, sleep clinics, DMEs) and B2C (patients with Restless Legs Syndrome)
- **Mission or purpose statement**: To innovate the next generation of clinically-validated wearable therapeutics to address the unmet needs of millions of people living with chronic medical conditions.

## Products & Services
- **[Nidra® Therapy (TOMAC Therapy)]**: A prescription wearable device that delivers Tonic Motor Activation (TOMAC) therapy to treat Restless Legs Syndrome (RLS). It is a non-pharmaceutical, clinically validated alternative that uses neuromodulation to alleviate symptoms without disrupting sleep. The therapy has received favorable inclusion in the American Academy of Sleep Medicine (AASM) clinical practice guidelines and has dedicated CMS reimbursement codes.

## Market Standing
- **Valuation/Market Cap**: Acquired by ResMed for $340 million (announced May 6, 2026).
- **Key Metric**: Total funding raised was approximately $57M (per CB Insights) to $107.2M (per LinkedIn), with the most recent round being a Series C - II. Annual revenue is estimated at $2.5M (pre-acquisition).
- **Notable Investors/Partners**: ResMed (acquirer), OrbiMed, Treo Ventures, The Blue Venture Fund, Sandbox Industries, Bridge Bank.
- **Growth Signals**: Headcount grew 100% YoY to 110 employees. The company secured dedicated CMS reimbursement codes for Nidra therapy. The therapy was included in new AASM clinical practice guidelines for RLS. The company was acquired by ResMed for $340M in May 2026, signaling strong validation and a major growth trajectory.

## Competitive Advantages
- **First-to-market with a non-pharmaceutical wearable for RLS**: Nidra therapy is a clinically validated, drug-free alternative for a condition affecting ~7% of adults globally, offering a significant differentiator in a market dominated by pharmaceuticals.
- **Strong clinical and regulatory moat**: The therapy has been included in AASM clinical practice guidelines and has dedicated CMS reimbursement codes, creating high barriers to entry for competitors.
- **Backed by ResMed**: The $340M acquisition by the global leader in sleep health provides immense resources, distribution channels, and market credibility.

## Strategic Focus
- **Post-acquisition scaling**: Following the acquisition by ResMed, the primary focus is on rapidly scaling U.S. commercialization, expanding market access, and integrating Nidra therapy into ResMed's global sleep health portfolio.
- **Expanding indications**: While currently focused on RLS, the company's platform technology has potential for treating other chronic neurological disorders.
- **Building the commercial engine**: The company is actively hiring across sales, marketing, patient access, and engineering roles to support its growth.

## Why Work Here
- **Patient-centered mission**: The company is deeply mission-driven, with a culture that prioritizes improving patient lives. Employees describe a strong sense of purpose in delivering life-changing therapy.
- **High-growth environment**: With 100% YoY headcount growth, a recent $340M acquisition, and 50+ open roles, this is a fast-scaling company with significant career advancement opportunities.
- **Culture of transparency and problem-solving**: The company emphasizes core values like "embrace the unknown," "build trust through transparency," and "win as a team," fostering a collaborative and innovative environment.
- **Remote-friendly**: Many roles are listed as remote, including sales, patient access, and support positions, though some engineering and marketing roles are based in Pleasanton, CA, or Pittsburgh, PA.
- **Strong engineering and clinical culture**: The team is a mix of seasoned medical device experts, neuroscientists, and engineers from the consumer electronics world, offering a unique blend of high-tech and life-science work.

## Sources
1. [noctrixhealth.com](https://noctrixhealth.com/)
2. [noctrixhealth.com/careers](https://noctrixhealth.com/careers/)
3. [greenhouse.io](http://job-boards.greenhouse.io/noctrixhealth)
4. [linkedin.com](https://www.linkedin.com/company/noctrix-health)
5. [cbinsights.com](https://www.cbinsights.com/company/noctrix-health)

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