Revenue Accounting Manager

Accountabilities:: Serve as the primary point of contact for revenue accounting questions, analysis, and reporting across the organization. Manage revenue recognition activities for the consolidated business, including monthly revenue and implicit price concession entries and related general ledger reconciliations. Automate and improve reporting for revenue, accounts receivable, and implicit price concessions using tools such as Excel, SQL, and Power BI. Regularly reconcile charges and collections between billing, electronic health record, accounting, and banking systems, investigating and resolving discrepancies. Prepare technical accounting memoranda related to accounting guidance, policies, and non-standard transactions. Develop, document, and continuously improve revenue accounting processes, procedures, and controls. Review and interpret payer contracts to determine revenue recognition and accounting implications. Audit pay-rate data used in billing and revenue reporting to ensure alignment between commercial contracts, billing activity, and revenue recognition. Monitor and report accounts receivable days outstanding by payer and collaborate with Revenue Cycle teams to resolve payer-specific issues and reconciliation differences. Partner with Finance to improve payer-specific revenue forecasting and provide meaningful insights into revenue trends. Monitor and regularly report on cash collections and related financial activity. Take ownership of additional accounting and finance initiatives as needed. Requirements Bachelor’s degree in Accounting or a related field. 8+ years of combined experience in revenue accounting, finance, or closely related functions. Strong knowledge of revenue recognition principles, particularly ASC 606. Proven ability to research accounting literature and translate complex accounting issues into clear, practical conclusions. Experience working in high-tech, software, healthcare technology, or similarly data-intensive environments. Strong analytical capabilities, including experience working with large datasets and identifying trends using Microsoft Excel and Power BI. Proficiency with Google Workspace and advanced Excel capabilities. Strong attention to detail and a high degree of accuracy when working with financial data. Excellent written and verbal communication skills, with the ability to explain complex financial information to diverse audiences. Demonstrated ability to build effective relationships across Finance, Revenue Cycle, Product, Technology, and other functions. Highly collaborative mindset combined with strong ownership, accountability, and sound judgment. Self-directed and resourceful approach, with the ability to learn quickly, take initiative, and thrive in a dynamic, fast-paced environment. Benefits $120,000–$150,000 compensation range. Bonus and commission opportunities. Fully remote position within the United States. Flexible PTO policy, with approximately 3–5 weeks recommended annually. 11 paid company holidays. Generous parental leave. Medical, dental, vision, life, and AD&D insurance, with a significant portion of premiums covered for employees and families. Employer-paid mental health support, including therapy and coaching sessions for employees and dependents. Employer-paid Employee Assistance Program covering mental health, legal, financial, and other support services. Employer-paid healthcare concierge service to help employees navigate benefits and healthcare needs. 401(k) plan option. $50 monthly home internet stipend. $250 monthly coworking space stipend. Initial work-from-home setup stipend of up to $500, with additional home-office funding at specified service milestones. Company-provided laptop. Flexible home-based work environment with limited travel requirements.