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Remote, Oregon, United States
Remote only
Drive Revenue Integrity & Close Excellence: Lead the monthly revenue close under ASC 606, managing journal entries, accruals, reserves, and reconciliations to deliver audit-ready, institutional-grade financials.
Oversee Strategic Vendor Governance: Act as the independent financial checkpoint for our outsourced RCM partner—enforcing SLAs, monitoring performance metrics (denials, clean-claim rates, NCR), and holding vendors accountable to corrective actions.
Plug Revenue Leakage & Protect Cash: Investigate billing trends and identify reimbursement shortfalls, unbilled services, and missed authorizations, collaborating cross-functionally to recover yield and improve cash conversion.
Modernize Financial Architecture: Lead NetSuite and RCM system integration enhancements, automating reconciliations, exception reporting, and controls to eliminate manual workflows.
Provide Actionable Commercial Intelligence: Analyze revenue per visit, market trends, and payer mix to guide 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, 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 Tech teams to design automated dashboards and eliminate recurring operational bottlenecks.
Required Qualifications:
Bachelor’s degree in Accounting, Finance, or a related field.
7+ years of progressive accounting experience with a 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 capabilities and solid experience navigating modern ERP environments.
Proven ability to analyze complex billing subledgers, reconcile massive datasets, and communicate financial insights across business units.
Strongly Preferred Qualifications:
Active CPA license.
Hands-on NetSuite implementation or systems integration experience.
Prior 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.
