Accounting Manager
- Lead day-to-day accounting and transaction coding across multiple entities.
- Manage weekly billing processes for all payer types: private pay, LTC insurance, Medicaid, VA, and other medical claims.
- Oversee accounts receivable, including aging, reporting, collections, and claim follow-up.
- Oversee accounts payable using Ramp and ensure accurate, timely vendor payments.
- Perform bank reconciliations and general ledger maintenance.
- Reconcile WellSky, KanTime, and other billing systems with QuickBooks Online.
- Record, deposit, and correctly classify checks and incoming payments.
- Manage and improve our Paychex payroll integration to strengthen cost accounting by service line and location.
- Prepare monthly, quarterly, and annual financial statements.
- Lead cash-to-accrual conversions for internal management reporting.
- Support budget-to-actual reporting and help leadership monitor financial performance.
- Maintain chart of accounts integrity and ensure GAAP compliance.
- Partner with our CPA on audits, tax planning, and financial strategy.
- Ensure accuracy, compliance, and timeliness across Medicaid, VA, insurance, and private-pay billing.
- Troubleshoot claim denials and guide the billing team on best practices.
- Manage overseas team members who support medical billing and collections.
- Identify root causes for claim issues and implement long-term solutions.
- Lead a small remote accounting and billing support team, including international staff.
- Work closely with the COO and CEO on financial visibility, reporting, and operational alignment.
- Support Credentialing oversight to ensure licenses, enrollments, and certifications remain current.
- Partner with IT support staff and vendors to ensure strong systems performance and data accuracy.
- Collaborate with operations, recruiting, and scheduling leadership to improve financial processes.
- Strengthen internal controls and financial workflows company-wide.
- Identify opportunities to streamline processes, integrate systems, and reduce manual tasks.
- Support property accounting for company-owned office buildings, including rent tracking, CAM reconciliation, and capital improvements.
- Drive continuous improvement across software tools, automations, and reporting accuracy.
- You enjoy doing the accounting work yourself while also leading others.
- You communicate clearly, follow through consistently, and can hold others accountable.
- You’re an Ideal Team Player—humble, hungry, and smart.
- You thrive in a growing organization where processes evolve and improve.
- Bachelor’s degree in Accounting, Finance, or related field required.
- Minimum of 5 years of progressive accounting experience, including at least 2 years managing or supervising a team.
- Strong proficiency with QuickBooks Online and Excel (pivot tables, VLOOKUP, formulas).
- Experience in healthcare accounting or medical billing strongly preferred.
- Experience with cash-to-accrual conversion and multi-entity accounting.
- Familiarity with Ramp, Paychex, and reconciliations between billing and accounting systems.
- Strong communication, analytical skills, and attention to detail.
- Ability to work on-site and lead a hybrid remote/overseas team effectively.
- Excellent time management and ability to handle multiple priorities.
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