Accounting Manager - Revenue

Accountabilities: In this role, you will oversee revenue accounting operations, strengthen financial governance, and ensure accurate and reliable reporting across healthcare services. Your responsibilities will include: Lead the monthly revenue close process in accordance with ASC 606, overseeing journal entries, accruals, reserves, and reconciliations to ensure accurate, audit-ready financial statements. Oversee financial governance of outsourced Revenue Cycle Management (RCM) partners, monitoring service-level agreements (SLAs) and performance indicators such as claim denials, clean-claim rates, and net collection rates. Hold external vendors accountable for performance targets, corrective actions, remediation plans, and operational improvements. Identify and investigate revenue leakage, reimbursement shortfalls, unbilled services, missed authorizations, and other billing inefficiencies. Collaborate with cross-functional teams to recover lost revenue, improve reimbursement outcomes, and strengthen cash conversion. Reconcile completed patient visits, billable services, insurance claims, cash postings, and unapplied cash between RCM subledgers and NetSuite. Manage accounts receivable valuation, aging schedules, collectability assessments, implicit price concessions, contractual allowances, and bad debt reserves across different payers and markets. Validate claim-level financial data against reported financial statements, ensuring accurate payment posting, effective aged receivables management, and timely collections. Establish and maintain internal controls, write-off approval processes, and segregation of duties across revenue operations. Lead improvements to NetSuite and RCM system integrations, automating reconciliations, exception reporting, and financial controls while reducing manual processes. Partner with Operations, Finance, and Technology teams to develop automated dashboards and eliminate recurring operational bottlenecks. Analyze revenue per visit, payer mix, and market trends to support budgeting, executive forecasting, and pricing decisions. Requirements The ideal candidate combines strong technical accounting expertise with specialized knowledge of healthcare reimbursement and revenue cycle operations. You should demonstrate: Bachelor's degree in Accounting, Finance, or a related field. 7+ years of progressive accounting experience, with a strong foundation in revenue recognition under ASC 606, accounts receivable valuation, and internal controls. In-depth knowledge of healthcare reimbursement models, insurance claims workflows, and Revenue Cycle Management (RCM). Advanced Microsoft Excel skills and experience working with modern Enterprise Resource Planning (ERP) systems. Proven ability to analyze complex billing subledgers, reconcile large datasets, and identify financial discrepancies. Strong analytical and problem-solving skills, with the ability to translate complex financial information into actionable business insights. Experience establishing financial controls, managing reconciliations, and improving revenue reporting processes. Excellent communication and collaboration skills, with the ability to work effectively across Finance, Operations, Technology, and external vendor teams. Strongly Preferred Qualifications: Active Certified Public Accountant (CPA) license. Hands-on experience with NetSuite implementations, system integrations, or ERP optimization projects. Previous experience in outpatient healthcare, physical therapy, or multi-site clinic operations. Experience managing outsourced RCM vendors, including SLA monitoring, remediation plans, performance reviews, and vendor audits. Familiarity with business intelligence and data analysis tools such as Power BI or SQL. Benefits Annual salary ranging from $118,000 to $132,000. Comprehensive medical, dental, and vision coverage for employees and their families, effective on the first day of the month following the start date. Flexible paid time off (PTO) and paid holidays. 401(k) retirement plan with employer matching contributions. Wellness benefits and paid life insurance. Additional employee benefits and support programs. Remote-first work environment with opportunities to connect in person during company gatherings. Trust-based and inclusive workplace culture where collaboration, purpose, and belonging are valued.