Staff Accountant XRHealth USA Inc

XRHealth•Needham, MA

54d

About The Position

The Staff Accountant is responsible for day-to-day accounting activity for XRHealth USA Inc. In addition to core entity accounting, the role works with the RCM team to manage cash flow and provide the information needed to close the entity’s books each month. Responsibilities span cash management, accounts payable, bank reconciliations, payroll accounting, state filings, tax workpapers, vendor management, headcount reporting, employee expenses, month-end close, and reconciliation of clinical and billing activity to revenue, accounts receivable, and cash received.

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.
Comfort using Ramp and Rippling, or demonstrated ability to learn finance systems quickly.
Strong Excel skills, strong attention to detail, and discipline in meeting a monthly close calendar.

Nice To Haves

Healthcare or clinical services billing exposure.

Responsibilities

Monitor daily bank activity, apply receipts, prepare payment runs, and ensure cash is coded correctly.
Process vendor bills in Ramp, code expenses to the appropriate accounts and departments, route approvals, manage accounts payable aging, and ensure card transactions have receipts.
Reconcile all entity 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, and state-level accounts, and maintain a filing calendar that identifies upcoming deadlines.
Prepare tax workpapers, fixed asset and depreciation schedules, and 1099s; assemble the tax package for the outside accounting firm that files returns.
Onboard vendors with W-9s and verified banking details, track contracts and certificates of insurance, reconcile vendor 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 Athelus to recorded revenue, accounts receivable, and cash received; investigate differences between services delivered, billed, and collected, and flag patterns needing attention.