Accounting Manager - Revenue

Overview

This role is for a proactive Revenue Accounting & Controls Manager who will lead healthcare services revenue reporting and strengthen internal controls. Responsibilities span revenue close under ASC 606, accounts receivable (AR) valuation and aging, and financial oversight of outsourced revenue cycle management (RCM) support.

Responsibilities

• Lead the monthly revenue close under ASC 606, including journal entries, accruals, reserves, and reconciliations to deliver audit-ready financial reporting.
• Serve as the independent financial checkpoint for an outsourced RCM partner by enforcing SLAs, monitoring performance metrics (denials, clean-claim rates, NCR), and ensuring corrective actions are completed.
• Investigate billing trends to identify reimbursement shortfalls, unbilled services, and missed authorizations; collaborate cross-functionally to recover yield and improve cash conversion.
• Drive improvements in financial architecture by leading NetSuite and RCM system integration enhancements, automating reconciliations, exception reporting, and revenue controls to reduce manual workflows.
• Provide actionable commercial intelligence by analyzing revenue per visit, market trends, and payer mix to support budgeting, executive forecasting, and pricing strategies.
• 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, including 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 Technology to design automated dashboards and eliminate recurring operational bottlenecks.

Requirements

• Bachelor’s degree in Accounting, Finance, or a related field.
• 7+ years of progressive accounting experience with 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 skills and experience navigating modern ERP environments.
• Proven ability to analyze complex billing subledgers, reconcile large datasets, and communicate financial insights across business units.

Preferred Qualifications

• Active CPA license.
• Hands-on NetSuite implementation or systems integration experience.
• 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.

Compensation & Benefits

• Salary: $118,000 - $132,000 a year (commensurate with experience and the location where work will be performed).
• 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.
• 401(k) with company match.
• Wellness benefits and paid life insurance, and more.

Location

Remote-first flexibility with opportunities to connect in person at company gatherings.