Accounting Manager-Healthcare Billing

Grand Lodge; San Francisco (CA); On-site; USD 114,000 - 140,000; Full time

Benefits offered by this job

Health benefits

401K plan

Tuition reimbursement

Job summary

Masons of California is seeking an experienced Revenue Manager / Accounting Manager with healthcare billing expertise to oversee the full revenue cycle and financial close processes. You will supervise staff, ensure GAAP-compliant reporting, and collaborate with Billing and Clinical Operations to improve reimbursement and revenue integrity.

This role requires proactive leadership, attention to detail, and the ability to translate financial results into actionable recommendations for executive

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.
• Experience with Medicare, Medi-Cal, and commercial insurance billing.
• Supervisory experience and strong leadership capabilities.
• Solid knowledge of GAAP and financial reconciliation processes.

Responsibilities

• Oversee monthly, quarterly, and annual close processes and financial reporting.
• Review journal entries, accruals, and balance sheet reconciliations.
• Monitor revenue recognition and accounts receivable trends.
• Collaborate with billing staff to ensure timely submissions and denial management.
• Support audits and strengthen internal controls; assist budgeting and forecasting.

Skills

GAAP knowledge

Revenue cycle

Financial analysis

Leadership

Billing oversight

Internal controls

Education

Accounting degree

Finance degree

Healthcare administration degree

Tools

Billing software

Accounting systems

Job description

Pay Range $114,413 to $139,838/yearlyPosition SummaryMasons 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 & ResponsibilitiesAccounting & Financial ManagementManage 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 OversightProvide 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 & AnalysisPrepare 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 ManagementSupervise 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 ExpectationsWe 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 AttributesStrong 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.QualificationsBachelor’s degree in Accounting, Finance, Healthcare Administration, or related field preferredMinimum of 3 years of healthcare revenue cycle and medical billing experiencePrevious supervisory or management experience requiredStrong experience with:MedicareMedi-CalCommercial insurance billingPrior authorizationsFull-cycle medical billing operationsKnowledge of accounting principles and financial reconciliation processesUnderstanding of P&L statements and GL account balances preferredStrong analytical, organizational, and problem-solving skillsAbility to work independently and manage multiple priorities in a fast-paced environmentExcellent communication, leadership, and interpersonal skillsExperience with healthcare billing software and accounting systems preferredPreferred ExperienceExperience in healthcare, skilled nursing, clinic, or senior care environmentsAbility to identify revenue leakage and improve billing efficienciesStrong attention to detail and commitment to compliance standardsBenefitsAt 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 careExcellent health, wage replacement, and other benefits for you and your family's well-beingA generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the planInvestment in your growth through tuition reimbursement - $1,500 per year