Accounting Manager | Controller

Total Care Connections • Tempe, AZ

1d • Onsite

About The Position

Total Care Connections, one of the fastest-growing home care organizations in Arizona and Colorado, is seeking a hands-on, highly skilled Controller to lead our growing accounting function.
This is not a role for someone who wants to sit back and delegate everything. We are looking for a true roll-up-your-sleeves financial leader who loves detailed accounting work, thrives in a fast-paced environment, and is energized by leading a small remote team of accounting, medical billing, and IT professionals, including overseas staff.
If you are a strong accounting technician, an excellent communicator, and someone who takes pride in accuracy, systems, and clean financial reporting, this role is for you.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field required
• Minimum of 5 years of progressive accounting experience
• At least 2 years of management or supervisory experience
• Strong proficiency in QuickBooks Online and Excel (pivot tables, VLOOKUP, formulas)
• Experience with multi-entity accounting and cash-to-accrual conversions
• Familiarity with payroll systems, AP systems, and system reconciliations
• Strong analytical ability, attention to detail, and communication skills
• Ability to work on-site and effectively lead a hybrid remote and overseas team
• Excellent time management and ability to manage multiple priorities

Nice To Haves

• Healthcare accounting and medical billing oversight experience strongly preferred

Responsibilities

• Leading day-to-day accounting and transaction coding across multiple entities
• Managing weekly billing processes across all payer types including private pay, Medicaid, VA, LTC insurance, and medical claims
• Overseeing accounts receivable including aging, reporting, collections, and claim follow-up
• Overseeing accounts payable through Ramp and ensuring accurate, timely vendor payments
• Performing bank reconciliations and general ledger maintenance
• Reconciling WellSky, KanTime, and other billing/EHR systems with QuickBooks Online
• Recording, depositing, and accurately classifying incoming checks and payments
• Managing and improving Paychex payroll integration to strengthen cost accounting by service line and location
• Prepare monthly, quarterly, and annual financial statements
• Lead cash-to-accrual conversions for internal management reporting
• Support annual budgeting and forecasting in partnership with internal leadership
• Provide budget-to-actual reporting to help leadership monitor financial performance
• Maintain chart of accounts integrity and ensure GAAP compliance
• Partner with external CPA support for audits, tax planning, and financial strategy
• Ensure billing is accurate, compliant, and timely across all payer sources
• Troubleshoot claim denials and guide the billing team toward best practices
• Manage overseas billing and collections team members
• Identify root causes of recurring billing issues and implement long-term solutions
• Lead a small remote accounting and billing support team, including international staff
• Work closely with the COO and CEO to ensure financial visibility and operational alignment
• Support credentialing oversight to ensure licenses, enrollments, and certifications remain current
• Lead IT support staff and vendors to ensure systems performance and data accuracy
• Collaborate with operations, recruiting, and scheduling teams to improve workflows and financial processes
• Strengthen internal controls and improve financial workflows company-wide
• Streamline processes, integrate systems, and reduce manual tasks
• Support property accounting for company-owned buildings, including rent tracking, CAM reconciliation, and capital improvements
• Drive continuous improvement across software tools, automations, and reporting accuracy

Benefits

• Competitive pay
• Health, dental, and vision insurance
• Paid time off and paid holidays
• 401(k) retirement plan with company match
• Short-term disability insurance
• Long-term disability insurance
• Company-paid life insurance
• Voluntary life insurance options
• Accident insurance
• Critical illness insurance
• Paid pregnancy disability leave up to six weeks
• Up to two weeks of paid parental leave
• Supportive return-to-work culture for growing families
• Total Care Relief Fund to support team members during times of unexpected hardship
• Leadership team that values integrity, accountability, and performance
• Opportunity to make a meaningful impact in a rapidly growing organization
• A company culture built on servant leadership and doing the right thing

What This Job Offers

• Job Type: Full-time
• Career Level: Manager