Accounting manager

Accounting Manager - Healthcare Revenue


Salary: Up to $100,000


Position Summary


The Accounting Manager is responsible for overseeing healthcare revenue accounting, reporting, and analysis, with a strong focus on third-party reimbursement from commercial insurance, Medicare, and Medicaid payers. This role applies GAAP principles to ensure accurate financial reporting and supports month-end close, audits, financial analysis, and special projects. The ideal candidate will have a strong understanding of healthcare revenue cycle accounting, including gross revenue, contractual adjustments, denials, and bad debt reserves.


Essential Responsibilities

• Manage and analyze all aspects of healthcare revenue accounting, including gross revenue, contractual discounts, denials, and bad debt reserves.
• Participate in the month-end close process by preparing and analyzing financial statements and supporting schedules.
• Ensure financial records are maintained in accordance with GAAP and established accounting policies.
• Perform detailed monthly balance sheet reconciliations and provide explanations for variances.
• Monitor internal controls and communicate discrepancies or irregularities to management.
• Maintain fixed asset schedules and record monthly depreciation.
• Oversee payroll-related accounting activities.
• Support the annual financial audit by preparing schedules and responding to audit requests.
• Analyze budget-to-actual variances and identify trends impacting financial performance.
• Build effective relationships with operational teams and cross-functional departments.
• Lead and complete special projects while ensuring routine responsibilities are completed timely.
• Maintain strict confidentiality and uphold the highest standards of integrity.

Supervisory Responsibilities

• Provide leadership and oversight to accounting staff.
• Supervise and mentor team members, ensuring accuracy, efficiency, and adherence to accounting policies.
• Previous supervisory experience is required.

Qualifications


Education

• Bachelor's degree in Accounting, Finance, or a related field required.
• CPA designation is a plus.

Required Experience

• Minimum of 5 years of progressive accounting experience.
• Strong healthcare industry experience required.
• Experience with healthcare revenue accounting and third-party reimbursement.
• Knowledge of revenue cycle components including contractual allowances, denials, and bad debt.
• Previous supervisory or management experience required.
• Experience with AI tools for Excel analysis (such as Claude for Excel or similar solutions) is preferred.

Technical Knowledge

• Strong understanding of GAAP and financial reporting requirements.
• Experience with accounting systems and financial software.
• Advanced Microsoft Excel skills required.
• Experience with Great Plains and FRx is preferred.
• Knowledge of budgeting and financial analysis.

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice


Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.


Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact View email address on click.appcast.io .


Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal .


By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice


Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies.

• California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here .
• Virginia residents may access our state specific policies here .
• Residents of all other states may access our policies here .
• Canadian residents may access our policies in English here and in French here .
• Residents of countries governed by GDPR may access our policies here .

Pay Transparency Notice


Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:

• the individual's skill sets, experience and training;
• licensure and certification requirements;
• office location and other geographic considerations;
• other business and organizational needs.

With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.