Accounting Manager - Revenue

Posted 3 Hours Ago
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Hiring Remotely in USA
Remote
118K-132K Annually
Senior level
Healthtech • On-Demand • Software • Telehealth
The Role
Own healthcare services revenue accounting, monthly close, ASC 606 reporting, accounts receivable valuation, reconciliations, internal controls, and outsourced RCM vendor oversight. Investigate revenue leakage, improve cash conversion, validate claims and payment postings, and automate reporting through NetSuite and RCM integrations. Provide commercial insights on payer mix, revenue per visit, forecasting, and pricing while partnering with Operations, Finance, and Technology teams.
Summary Generated by Built In
Are you a proactive accounting leader who thrives at the intersection of complex financial data, healthcare reimbursement, and internal controls? Luna Care is seeking a Revenue Accounting & Controls Manager to take full ownership of our healthcare services revenue reporting, accounts receivable valuation, and outsourced RCM financial oversight. If you love digging into the details, plugging revenue leakage, and driving scalable automated reporting from the ground up, we want to hear from you.

How you will have an impact

  • Drive Revenue Integrity & Close Excellence: Lead the monthly revenue close under ASC 606, managing journal entries, accruals, reserves, and reconciliations to deliver audit-ready, institutional-grade financials.

  • Oversee Strategic Vendor Governance: Act as the independent financial checkpoint for our outsourced RCM partner—enforcing SLAs, monitoring performance metrics (denials, clean-claim rates, NCR), and holding vendors accountable to corrective actions.

  • Plug Revenue Leakage & Protect Cash: Investigate billing trends and identify reimbursement shortfalls, unbilled services, and missed authorizations, collaborating cross-functionally to recover yield and improve cash conversion.

  • Modernize Financial Architecture: Lead NetSuite and RCM system integration enhancements, automating reconciliations, exception reporting, and controls to eliminate manual workflows.

  • Provide Actionable Commercial Intelligence: Analyze revenue per visit, market trends, and payer mix to guide budgeting, executive forecasting, and pricing strategies.

    What You Will Do
    • Reconcile completed patient visits, billable services, claims, cash postings, and unapplied cash between RCM subledgers and NetSuite.

    • Oversee AR valuation, aging schedules, collectability, implicit price concessions, contractual allowances, and bad debt reserves by payer and market.

    • Establish and maintain internal controls, write-off approvals, and segregation of duties across revenue operations.

    • Validate claim-level data against financial statements to ensure accurate payment posting, aged AR management, and timely collections.

    • Partner with Operations, Finance, and Tech teams to design automated dashboards and eliminate recurring operational bottlenecks.

What Luna can do for you

  • Comprehensive health coverage (medical, dental, and vision) for you and your family on the first of the month following your start date.
  • Flexible PTO and paid holidays to recharge and care for what matters most.
  • 401(k) with company match to invest in your future.
  • Wellness benefits, paid life insurance, and more!
  • Remote-first flexibility with opportunities to connect in person at company gatherings.
  • A culture built on trust, purpose, and belonging—where every voice matters.

What you can do for Luna

    Required Qualifications:

    • Bachelor’s degree in Accounting, Finance, or a related field.

    • 7+ years of progressive accounting experience with a strong foundation in revenue recognition (ASC 606), accounts receivable valuation, and internal controls.

    • Deep knowledge of healthcare reimbursement models, insurance claims workflows, and Revenue Cycle Management (RCM).

    • Advanced Microsoft Excel capabilities and solid experience navigating modern ERP environments.

    • Proven ability to analyze complex billing subledgers, reconcile massive datasets, and communicate financial insights across business units.

    • Strongly Preferred Qualifications:

      • Active CPA license.

      • Hands-on NetSuite implementation or systems integration experience.

      • Prior experience in outpatient healthcare, physical therapy, or multi-site clinic operations.

      • Experience managing outsourced RCM vendor SLAs, remediation plans, and vendor audits.

      • Familiarity with business intelligence tools such as Power BI or SQL.

Physical therapy, delivered.
www.getluna.com
 
#LI-KC1
#LUNACORP1

Skills Required

  • Bachelor's degree in Accounting, Finance, or a related field
  • 7+ years of progressive accounting experience
  • Strong foundation in revenue recognition under ASC 606
  • Experience with accounts receivable valuation and internal controls
  • Deep knowledge of healthcare reimbursement models
  • Knowledge of insurance claims workflows and Revenue Cycle Management
  • Advanced Microsoft Excel capabilities
  • Experience navigating modern ERP environments
  • Ability to analyze complex billing subledgers and reconcile large datasets
  • Ability to communicate financial insights across business units
  • Active CPA license
  • Hands-on NetSuite implementation or systems integration experience
  • Experience in outpatient healthcare, physical therapy, or multi-site clinic operations
  • Experience managing outsourced RCM vendor SLAs, remediation plans, and vendor audits
  • Familiarity with Power BI or SQL
Am I A Good Fit?
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The Company
HQ: Nashville, TN
Year Founded: 2018

What We Do

Luna is a leading in-home, tech-enabled physical therapy platform that provides 1:1 personalized care. By shifting treatment from the clinic to the home, the company improves accessibility, convenience, and patient outcomes. Luna leverages proprietary technology like Auto-Charting® to streamline documentation for therapists, allowing them to focus on patient care. The company partners with major health systems and is covered by Medicare and most major insurance plans.

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