Staff Accountant XRHealth America Inc

XRHealth•Needham, MA

About The Position

The Staff Accountant is responsible for day-to-day accounting activity for XR America Inc., including purchase order, revenue, and product shipment accounting. The role manages cash activity, accounts payable, bank reconciliations, payroll accounting, state registrations and filings, tax workpapers, vendor administration, headcount reporting, employee expenses, and month-end close. It also reconciles clinical and billing activity in Niko EHR, maintains the accounting view of purchase orders and revenue in HubSpot, and accounts for inventory, fixed assets, and cost of goods sold related to product shipments.

Requirements

  • Bachelor's degree in accounting or a related field.
  • Three to five years of full-cycle accounting experience, including accounts payable and month-end close.
  • Experience working in a multi-entity environment and keeping entities cleanly separated.
  • Hands-on experience with purchase orders, inventory, or cost of goods sold in a product business.
  • Comfort using Ramp, Rippling, and a CRM such as HubSpot, or demonstrated ability to learn finance systems quickly.
  • Strong Excel skills, strong attention to detail, and discipline in meeting close calendar expectations.

Nice To Haves

  • Healthcare or clinical services billing exposure.

Responsibilities

  • Monitor daily bank activity, apply receipts, prepare payment runs, and code cash inflows and outflows accurately.
  • Process vendor bills in Ramp, assign accounts and departments, route approvals, manage payables aging, and ensure card transactions have supporting receipts.
  • Reconcile the entity’s bank accounts monthly, resolve exceptions, respond to fraud and positive pay alerts, and maintain access requests.
  • Record and reconcile payroll expenses, employer taxes, benefits, and related accruals from Rippling to the general ledger.
  • Maintain entity registrations, annual reports, state-level accounts, and a filing calendar with upcoming deadlines.
  • Prepare tax workpapers, maintain fixed asset and depreciation schedules, prepare 1099s, and assemble the tax package for the outside accounting firm.
  • Onboard vendors by collecting W-9s and verified banking details, track contracts and certificates of insurance, reconcile statements, and respond to vendor inquiries.
  • Track hires and terminations and publish monthly headcount and payroll cost reporting by department.
  • Review employee reimbursements and corporate card spending against policy and follow up directly with employees on exceptions.
  • Prepare journal entries, accruals, prepaids, and balance sheet reconciliations for month-end close, and write variance commentary for the Controller.
  • Reconcile clinical and billing activity in Niko EHR to recorded revenue, accounts receivable, and cash received, and investigate variances between delivery, billing, and collection.
  • Maintain accurate supplier purchase order records in HubSpot and match them to vendor bills; tie booked revenue to the general ledger, maintain deferred revenue, and reconcile HubSpot to the books monthly.
  • Account for inventory and fixed assets and cost of goods sold, including in-transit units, freight, and duties; perform three-way matching of purchase orders, shipments, and invoices; resolve discrepancies with suppliers and operations; and support periodic inventory counts.
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