Accounting Manager – Revenue

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the monthly revenue close process in accordance with ASC 606, managing journal entries, accruals, reserves, and reconciliations to produce audit-ready, high-quality financial statements.

• Serve as the independent financial checkpoint for the outsourced RCM partner by enforcing service level agreements (SLAs), tracking denials, clean-claim rates, and non-conformance reports (NCR), while ensuring vendors are accountable for corrective actions.

• Analyze billing trends to identify reimbursement gaps, unbilled services, and missed authorizations, collaborating with cross-functional teams to recover revenue and enhance cash flow.

• Lead enhancements for NetSuite and RCM system integrations, automating reconciliations, exception reporting, and controls to eliminate manual processes.

• Evaluate revenue per visit, market trends, and payer mix to inform budgeting, executive forecasting, and pricing strategies.

• Reconcile completed patient visits, billable services, claims, cash postings, and unapplied cash between RCM subledgers and NetSuite.

• Supervise accounts receivable valuation, aging schedules, collectability, implicit price concessions, contractual allowances, and bad debt reserves categorized by payer and market.

• Develop and uphold internal controls, write-off approvals, and segregation of duties within revenue operations.

• Verify claim-level data against financial statements to guarantee accurate payment posting, management of aged accounts receivable, and timely collections.

• Collaborate with Operations, Finance, and Technology teams to create automated dashboards and remove recurring operational bottlenecks.

⛳️ Requirements

• A Bachelor’s degree in Accounting, Finance, or a related discipline.

• 7+ years of progressive accounting experience with a solid background in revenue recognition (ASC 606), accounts receivable valuation, and internal controls.

• Extensive knowledge of healthcare reimbursement models, insurance claims processes, and Revenue Cycle Management (RCM).

• Advanced proficiency in Microsoft Excel and significant experience working with modern ERP systems.

• Demonstrated ability to analyze complex billing subledgers, reconcile large datasets, and convey financial insights across various business units.

• Active CPA license is highly preferred.

• Hands-on experience with NetSuite implementation or systems integration is strongly desired.

• Prior experience in outpatient healthcare, physical therapy, or multi-site clinic operations is highly preferred.

• Experience managing outsourced RCM vendor SLAs, remediation strategies, and vendor audits is strongly preferred.

• Familiarity with business intelligence tools such as Power BI or SQL is strongly preferred.

🏝️ Benefits

• Comprehensive health coverage (medical, dental, and vision) for you and your family starting on the first of the month after your hire date.

• Flexible PTO and paid holidays.

• 401(k) plan with company matching.

• Wellness benefits.

• Paid life insurance.

• Remote-first work environment with opportunities for in-person connections at company events.

• A culture founded on trust, purpose, and belonging—where every individual's voice is valued.