Accounting Manager

Esperta Health•Brentwood, TN

About The Position

Esperta Health is hiring an experienced Accounting Manager with healthcare revenue cycle management expertise to lead accounting operations and financial reporting. This role oversees billing, AR/AP, month-end close, and coordination with our third-party RCM vendor while supporting the CFO with comprehensive accounting and finance operations.

Requirements

Minimum 5+ years progressive accounting history, including healthcare revenue cycle management experience.
Experience working with third-party RCM vendors, understand fee for service claims and reimbursement.
Proficient in QuickBooks and advanced Excel.
Good communication and organization skills a must.
Must be a proactive problem solver with a high level attention to detail.
This role requires someone who can work independently with minimal supervision while managing multiple priorities in a fast-paced, growing healthcare organization.

Nice To Haves

CPA certification is strongly preferred.

Responsibilities

Coordinate with third-party RCM vendor to ensure timely submission of claim information and clinical documentation
Reconcile claims submitted by RCM vendor to internal patient visit records and QuickBooks
Track claim status, resolve payment discrepancies, and follow up on past due accounts
Monitor AR aging and provide regular cash flow reporting
Process and approve vendor invoices; manage AP aging and payment schedules
Oversee cash management, banking relationships, and treasury functions
Prepare weekly cash flow forecasts
Lead month-end close process and prepare monthly financial statements
Prepare journal entries for accruals, prepayments, and adjustments
Own and reconcile all general ledger accounts with variance analysis
Prepare and file monthly sales tax returns
Ad-hoc reporting and analysis