Hospice Accounting Manager

Hospice Accounting Manager

A well-established, mission-driven hospice organization is seeking an experienced Hospice Accounting Manager to oversee the full accounting function in a Medicare-driven healthcare environment. This is a hands-on role responsible for financial accuracy, compliance, and reporting, working closely with executive leadership.

The ideal candidate brings strong healthcare accounting experience, is comfortable owning the accounting process end-to-end, and enjoys working closely with leadership to support sound financial and operational decision-making.

Key Responsibilities

Accounting & Financial Reporting

• Oversee full-cycle accounting, including general ledger, reconciliations, and month-end close
• Prepare and review monthly, quarterly, and annual financial statements
• Ensure GAAP-compliant reporting and accurate accruals
• Monitor cash flow, operating margins, and financial performance metrics
• Perform balance sheet reconciliations and account analysis
• Manage year-end close and audit preparation
• Coordinate payroll and perform payroll reconciliations
• Maintain accounts receivable aging

Hospice Reimbursement & Compliance

• Reconcile Medicare, Medicaid, and insurance payments
• Monitor hospice cap calculations, sequestration, and recapture exposure
• Support hospice cost reports and collaborate with external consultants
• Ensure compliance with CMS, state, and payer regulations

Budgeting & Controls

• Prepare budgets and financial reports for leadership
• Analyze budget vs. actual variances
• Maintain strong internal accounting controls
• Support internal and external audits

Qualifications

Required

• Bachelor's degree in Accounting, Finance, or related field
• 3+ years of full-cycle accounting experience
• Healthcare accounting experience required
• Strong knowledge of GAAP and financial controls
• Proficiency with accounting systems and Excel
• Ability to manage accounting processes from start to finish

Preferred

• Hospice or home health experience
• CPA or accounting certification
• Experience with Medicare reimbursement and cost reporting

Benefits

• 401(k)
• Medical, Dental, and Vision Insurance
• Life Insurance
• Paid Time Off
• Paid Sick Time

Work Environment

• Primarily in-office role in Bedford, TX
• Hybrid flexibility may be considered after onboarding and performance are established