Accounting Manager

Peak Performance Physical Therapy, PLC•Lansing, MI
•Onsite

About The Position

The Accounting Manager oversees financial accounting, payroll administration, healthcare revenue cycle operations, compliance, and related organizational support. The role maintains the general ledger and accounting records; performs reconciliations, journal entries, and month-end close procedures; and assists with financial statements, management reporting, cash management, and external accounting or audit activities. The Accounting Manager collaborates with Human Resources on payroll processing and payroll-related matters, and coordinates payroll tax reporting with support from the outside accounting firm. The position directly supervises the Billing Specialist and oversees billing operations, insurance authorizations, patient accounts, accounts receivable, claims, patient statements, and revenue cycle performance. It partners with clinical and administrative leaders to address billing and reimbursement issues, monitors key performance indicators, and develops process improvements. The Accounting Manager also supports the CFO with budgeting and financial planning, prepares tax payments and corporate filings, and helps ensure compliance with applicable regulations, company policies, and internal controls. This is a full-time, in-office position in a professional office environment. It involves regular use of computers, telephones, printers, and other standard office equipment. The employee is regularly required to remain stationary for prolonged periods, frequently operate a computer and office equipment, communicate effectively with employees, patients, vendors, and business partners, and occasionally move files, supplies, or equipment weighing up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

  • Bachelor's degree in Accounting, Finance, or a related field.
  • At least five years of progressively responsible accounting experience.
  • Experience managing month-end close processes.
  • Experience processing payroll.
  • Strong understanding of generally accepted accounting principles (GAAP).
  • Experience with financial reporting and account reconciliations.
  • Proficiency with Microsoft Excel and accounting software.
  • Demonstrated leadership, organizational, and analytical skills.
  • Excellent verbal and written communication skills.
  • Ability to maintain confidentiality and exercise sound judgment.
  • Healthcare accounting experience is required.

Nice To Haves

  • Experience overseeing healthcare billing and revenue cycle operations.
  • Experience working with electronic medical record (EMR), practice management, payroll, and accounting software.
  • Supervisory or management experience.

Responsibilities

  • Maintain the organization's general ledger, accounting records, and supporting documentation.
  • Perform monthly bank, credit card, and balance sheet account reconciliations; prepare journal entries and complete month-end close procedures.
  • Assist with monthly and annual financial statements, management reports, annual financial reviews, and external accounting or audit activities.
  • Monitor cash flow, maintain cash management records, prepare bank deposits, and reconcile cash transactions.
  • Develop and maintain accounting procedures and internal controls to safeguard company assets.
  • Collaborate with Human Resources to process payroll accurately and timely, maintain payroll records, coordinate payroll tax reporting, and address payroll-related changes and compensation matters.
  • Directly supervise the Billing Specialist, including assigning and monitoring work, training and developing staff, conducting performance evaluations, addressing performance concerns, and fostering an accountable, collaborative, service-oriented work environment.
  • Oversee daily billing operations, insurance authorization processes, patient account activities, and preparation and distribution of patient statements.
  • Monitor accounts receivable, reimbursement trends, claim denials, and aging reports; ensure timely claims submission and follow-up on outstanding balances.
  • Partner with clinical and administrative leaders to resolve billing, authorization, and reimbursement issues.
  • Develop process improvements to enhance revenue cycle performance and operational efficiency; monitor KPIs and report performance trends to leadership.
  • Prepare quarterly tax payments and complete annual corporate filings and required governmental reports with support from the outside accounting firm.
  • Ensure compliance with applicable federal, state, and local accounting, payroll, and tax regulations, company policies, record-retention requirements, internal financial controls, and audit requirements.
  • Support the CFO in developing the yearly budget and financial planning initiatives.
  • Identify opportunities to improve accounting workflows, financial reporting, and operational efficiency; assist with financial analysis and special projects.
  • Perform other duties as assigned to support organizational objectives.
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