Today, when you go to your doctor and get referred to a specialist, your doctor sends out a referral and tells you, “They’ll be in touch soon.” So you wait. And wait. Sometimes days, weeks, or even months. Why? Because too often providers are overwhelmed with the painstakingly tedious work required to get paid by insurance companies. Powered by proprietary models, Tennr handles the complex paperwork that gets patients through the door and providers paid, helping operators get patients the right care, at the right time, in the right setting.
About the roleAs we build out our internal accounting function, we are hiring an Accounting Manager to serve as its operational anchor - owning full-cycle accounting and establishing the processes and controls needed to support the company at scale.
Reporting to the Controller, the Accounting Manager will lead the monthly close, own the Order to Cash life cycle, and help carry the company through its first financial-statement audit toward audit-ready, repeatable operations. This is a high-ownership role for an experienced accountant who can operate hands-on while building for scale.
ResponsibilitiesMonth-end close: Own the end-to-end close, continuously improving cycle time and accuracy while reducing reliance on manual work and external support.
Revenue recognition: Own revenue recognition under ASC 606, deferred revenue, and usage-based billing; reconcile billing systems to the general ledger and resolve variances.
Accounts receivable & collections: Manage collections and DSO and develop the AR function, including coaching junior team members.
Accounts payable: Oversee AP, vendor payments, and expense management, with disciplined approval workflows and clear vendor accountability.
Payroll & equity: Review payroll and support equity and stock-based compensation accounting.
Audit & compliance: Lead audit preparation and the PBC process for the financial-statement and 401(k) audits; support sales-tax and multi-state payroll compliance.
Systems & process: Design scalable, well-documented processes and controls, support the company's ERP migration, and identify and implement automation.
Team leadership: Mentor team members, coordinate with external accounting partners, and grow into leadership of the in-house accounting team.
5–7 years of progressive accounting experience, including full-cycle ownership across order-to-cash, procure-to-pay, and record-to-report.
Strong command of US GAAP, including revenue recognition (ASC 606), with the ability to own the close independently.
Experience at a high-growth technology or SaaS company, ideally with usage-based or consumption billing models.
Proficiency with modern ERP and billing systems and advanced spreadsheet skills.
Experience supporting or preparing for a financial-statement audit.
A track record of building and documenting scalable processes and controls and of automating manual work.
High ownership, strong attention to detail, and the ability to thrive in a lean, fast-paced environment.
Based in the New York City area and able to work onsite 4 days a week.
Active CPA
Big 4 or public accounting background
ERP implementation experience
Multi-entity or international accounting experience (the company is establishing an international entity)
Comfort working directly with data (e.g., SQL)
Drive Impact: one of our company values is Cowboy, meaning you set the pace. You won’t just talk about things, you’ll get them done. And feel the impact.
Develop Operational Expertise: learn the inner workings of scaling systems, tools, and infrastructure
Innovate with Purpose: we’re not just doing this for fun (although we do have a lot of fun). At Tennr, you’ll join a high-caliber team maniacally focused on reducing patient delays across the U.S. healthcare system.
Build Relationships: collaborate and connect with like-minded, driven individuals in our Hudson Square office 4 days/week
Free lunch! Plus a pantry full of snacks.
Beautiful new office at 345 Hudson Street
Unlimited PTO
100% paid employee health benefit options
Employer funded 401(k) match
Competitive parental leave
Skills Required
- 5-7 years of progressive accounting experience, including full-cycle ownership across order-to-cash, procure-to-pay, and record-to-report
- Strong command of US GAAP, including ASC 606 revenue recognition, with the ability to independently own the close
- Experience at a high-growth technology or SaaS company, ideally with usage-based or consumption billing models
- Proficiency with modern ERP and billing systems and advanced spreadsheet skills
- Experience supporting or preparing for a financial-statement audit
- Experience building and documenting scalable processes and controls and automating manual work
- High ownership, strong attention to detail, and ability to thrive in a lean, fast-paced environment
- Based in the New York City area and able to work onsite four days per week
- Active CPA
- Big Four or public accounting background
- ERP implementation experience
- Multi-entity or international accounting experience
- Comfort working directly with data, such as SQL
Tennr Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Tennr and has not been reviewed or approved by Tennr.
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Fair & Transparent Compensation — Available salary ranges for software engineering, product, and solutions roles indicate market-competitive total compensation. Publicly shared ranges include base, equity, and bonuses, signaling comprehensive pay structures.
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Healthcare Strength — Job materials cite 100% paid employee health benefit options. This signals a strong healthcare offering with employer-covered employee premiums.
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Leave & Time Off Breadth — Unlimited PTO is consistently highlighted across roles. This expands time-off flexibility beyond standard accruals.
Tennr Insights
What We Do
Tennr reads documents from incoming faxes passing through healthcare practices and automates essential tasks like scheduling and qualifying patient visits. By automating that paperwork with Tennr, practices receive more patient referrals and reduce billing errors by 98%, significantly growing revenue.
