Accounting Manager - Revenue

• Drive Revenue Integrity & Close Excellence: Lead the monthly revenue close under ASC 606, managing journal entries, accruals, reserves, and reconciliations to deliver audit-ready, institutional-grade financials.

• Oversee Strategic Vendor Governance: Act as the independent financial checkpoint for our outsourced RCM partner—enforcing SLAs, monitoring performance metrics (denials, clean-claim rates, NCR), and holding vendors accountable to corrective actions.

• Plug Revenue Leakage & Protect Cash: Investigate billing trends and identify reimbursement shortfalls, unbilled services, and missed authorizations, collaborating cross-functionally to recover yield and improve cash conversion.

• Modernize Financial Architecture: Lead NetSuite and RCM system integration enhancements, automating reconciliations, exception reporting, and controls to eliminate manual workflows.

• Provide Actionable Commercial Intelligence: Analyze revenue per visit, market trends, and payer mix to guide budgeting, executive forecasting, and pricing strategies.

  What You Will Do

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

  • Oversee AR valuation, aging schedules, collectability, implicit price concessions, contractual allowances, and bad debt reserves by payer and market.

  • Establish and maintain internal controls, write-off approvals, and segregation of duties across revenue operations.

  • Validate claim-level data against financial statements to ensure accurate payment posting, aged AR management, and timely collections.

  • Partner with Operations, Finance, and Tech teams to design automated dashboards and eliminate recurring operational bottlenecks.

• Comprehensive health coverage (medical, dental, and vision) for you and your family on the first of the month following your start date.
• Flexible PTO and paid holidays to recharge and care for what matters most.
• 401(k) with company match to invest in your future.
• Wellness benefits, paid life insurance, and more!
• Remote-first flexibility with opportunities to connect in person at company gatherings.
• A culture built on trust, purpose, and belonging—where every voice matters.

Required Qualifications:

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

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

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

• Advanced Microsoft Excel capabilities and solid experience navigating modern ERP environments.

• Proven ability to analyze complex billing subledgers, reconcile massive datasets, and communicate financial insights across business units.

Strongly Preferred Qualifications:

• Active CPA license.

• Hands-on NetSuite implementation or systems integration experience.

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

• Experience managing outsourced RCM vendor SLAs, remediation plans, and vendor audits.

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