Accounting Manager-Healthcare Billing

Pay Range $114,413 to $139,838/yearly

Position Summary

Masons of California is seeking an experienced, detail-oriented, and hands-on Revenue Manager / Accounting Manager with strong healthcare and medical billing experience to oversee the full revenue cycle process and support financial operations. The ideal candidate will possess supervisory experience, in-depth knowledge of healthcare billing practices, and the ability to collaborate across departments to ensure accurate revenue recognition, reimbursement management, compliance, and financial reporting.

This role requires a proactive leader who understands the operational and financial impact of billing activities on Profit & Loss (P&L) statements and General Ledger (GL) balances. The successful candidate will be willing to continuously learn, adapt, and expand their knowledge within healthcare finance and accounting operations while actively supporting day-to-day billing functions when necessary.

Essential Duties & Responsibilities

Accounting & Financial Management

• Manage the organization's monthly, quarterly, and annual financial close process.

• Oversee General Ledger accounting activities to ensure accurate and timely financial reporting.

• Review and approve journal entries, accruals, and adjusting entries.

• Prepare, analyze, and interpret monthly Profit & Loss (P&L) statements and Balance Sheets.

• Perform and review monthly balance sheet reconciliations, bank reconciliations, and General Ledger account reconciliations.

• Ensure financial transactions are accurately recorded in accordance with Generally Accepted Accounting Principles (GAAP).

• Monitor revenue recognition and ensure financial activity is accurately reflected within the General Ledger.

• Analyze financial results, identify trends and variances, and provide recommendations to leadership.

• Develop and maintain strong internal accounting controls and financial policies.

• Assist with budgeting, forecasting, and long-range financial planning.

• Coordinate and support internal and external financial audits.

• Ensure compliance with accounting standards, healthcare regulations, and organizational policies.

Revenue Cycle & Healthcare Financial Oversight

• Provide financial oversight of the healthcare revenue cycle from billing through reimbursement.

• Partner with billing staff to ensure timely claim submission, payment posting, collections, and denial management.

• Monitor accounts receivable trends and reimbursement performance.

• Reconcile billing system activity to General Ledger balances.

• Identify revenue leakage and implement financial controls to improve reimbursement accuracy.

• Collaborate with operational departments to improve revenue integrity and financial performance.

• Analyze reimbursement trends and identify opportunities to improve cash flow.

Financial Reporting & Analysis

• Prepare monthly financial reports and executive summaries for leadership.

• Analyze operating results and explain budget-to-actual variances.

• Monitor key financial metrics and recommend corrective actions when necessary.

• Support strategic financial decision-making through data analysis and forecasting.

• Assist leadership in evaluating departmental financial performance.

• Prepare ad hoc financial analyses as requested.

Leadership & Team Management

• Supervise accounting and billing staff by providing leadership, coaching, performance management, and professional development.

• Establish departmental goals, monitor productivity, and ensure work is completed accurately and timely.

• Promote collaboration between Accounting, Finance, Billing, Clinical Operations, and Executive Leadership.

• Develop and improve accounting procedures to increase efficiency and strengthen internal controls.

• Lead process improvement initiatives designed to improve financial reporting and operational effectiveness.

Additional Candidate Expectations

We are seeking a leader who enjoys both strategic financial management and hands-on accounting responsibilities. The successful candidate will be comfortable working with financial statements one moment and assisting staff with complex accounting or billing questions the next.

The ideal candidate:

• Takes ownership of financial accuracy.

• Understands the relationship between operational performance and financial outcomes.

• Makes decisions using financial data and sound accounting principles.

• Continuously seeks opportunities to improve accounting processes and internal controls.

• Demonstrates integrity, accountability, and professionalism.

• Leads by example while fostering teamwork and continuous improvement.

Desired Professional Attributes

• Strong understanding of GAAP and financial reporting principles.

• Advanced knowledge of General Ledger accounting.

• Extensive experience preparing and analyzing Profit & Loss Statements and Balance Sheets.

• Experience performing complex account reconciliations.

• Strong analytical and problem-solving abilities.

• Excellent organizational and time management skills.

• High attention to detail and commitment to accuracy.

• Ability to communicate financial information to both financial and non-financial leaders.

• Strong leadership, coaching, and relationship-building skills.

• Continuous improvement mindset.

Qualifications

• Bachelor’s degree in Accounting, Finance, Healthcare Administration, or related field preferred

• Minimum of 3 years of healthcare revenue cycle and medical billing experience

• Previous supervisory or management experience required

• Strong experience with:

  • Medicare

  • Medi-Cal

  • Commercial insurance billing

  • Prior authorizations

  • Full-cycle medical billing operations

• Knowledge of accounting principles and financial reconciliation processes

• Understanding of P&L statements and GL account balances preferred

• Strong analytical, organizational, and problem-solving skills

• Ability to work independently and manage multiple priorities in a fast-paced environment

• Excellent communication, leadership, and interpersonal skills

• Experience with healthcare billing software and accounting systems preferred

Preferred Experience

• Experience in healthcare, skilled nursing, clinic, or senior care environments

• Ability to identify revenue leakage and improve billing efficiencies

• Strong attention to detail and commitment to compliance standards

Benefits

At the Masons of California and its related entities, you will have the opportunity to combine your passion for helping people and high ethical standards with opportunities to advance your career. In return for your skills and passion we offer:

• A work environment focused on teamwork and support for excellent care

• Excellent health, wage replacement, and other benefits for you and your family's well-being

• A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan

• Investment in your growth through tuition reimbursement - $1,500 per year