AR / AP Accounting Specialist — Austin, TX

Briarwood Detox; Austin (TX); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Health, dental, vision and life cover

Generous paid time off

Merit-based raises and route to promo

Finance seat with visibility across a,

Job summary

Briarwood Detox, based in Austin, TX, seeks an experienced accounting professional to manage accounts receivable and intercompany billing processes within a healthcare environment. You will reconcile patient/insurance receivables, post cash receipts, and collaborate with the revenue cycle team on billing, adjustments, refunds, and write-offs.

The role requires QuickBooks Online and RAMP experience, strong Excel skills, and at least an Associate degree with 3+ years in similar roles.

Qualifications

• Associate's degree or equivalent experience in accounting/finance related field.
• 3+ years in accounts receivable, accounts payable, bookkeeping or accounting.
• Experience in healthcare environment and revenue cycle processes.
• Proficiency in QuickBooks Online and RAMP expense management software.
• Strong Microsoft Excel skills and data reconciliation capabilities.

Responsibilities

• Maintain and reconcile patient and insurance receivable balances.
• Post and reconcile cash receipts and deposits; investigate unapplied cash and adjustments.
• Review AR aging and assist with collections.
• Reconcile receivable activity between billing system and QuickBooks Online.
• Collaborate with revenue cycle team on billing, collections, adjustments and refunds.
• Code and process vendor invoices; ensure approvals and support before payment.
• Process vendor payments (ACH, check, wire); maintain vendor records and W-9s.
• Manage employee expense reports and reimbursements; reconcile company cards.
• Prepare bank, credit card, AR and AP reconciliations; support month-end/year-end closes.
• Prepare receivable/collection summaries for management; support external audits.

Skills

Detail oriented

Analytical thinking

Team collaboration

Education

Associate's degree in accounting or related field

Bachelor's degree preferred

Tools

QuickBooks Online

RAMP

Microsoft Excel

Job description

Both sides of the ledger for a group of behavioral health and recovery companies — patient and insurance receivables on one side, vendor invoices and card reconciliations on the other. The interesting part is the middle: making the billing system and QuickBooks agree, and finding out why when they do not.

Schedule

• Full time, Monday to Friday, business hours.
• Month-end and year-end close are the busy weeks — the rest of the month is steadier.
• Based in Austin, working alongside the internal revenue cycle team.

What you will do

• Maintain and reconcile patient and insurance receivable balances.
• Post and reconcile cash receipts and deposits, and investigate unapplied cash, credits and adjustments.
• Review accounts receivable aging and assist with collection efforts.
• Reconcile receivable activity between the billing system and QuickBooks Online.
• Work with the internal revenue cycle team on billing, collections, adjustments, refunds and write-offs.
• Review, code and process vendor invoices, and confirm approval and support before payment.
• Process vendor payments by ACH, check and wire, and keep vendor records and W-9s in order.
• Manage employee expense reports and reimbursements through RAMP, and reconcile company cards.
• Prepare bank, credit card, AR and AP reconciliations, and support month-end and year-end close.
• Prepare weekly and monthly receivable and collection summaries for management.
• Support external audits and financial reviews with documentation.

Required

• Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead.
• Three or more years in accounts receivable, accounts payable, bookkeeping or accounting.
• Experience working in a healthcare environment.
• Proficiency in QuickBooks Online.
• Experience using RAMP expense management software.
• Experience supporting healthcare billing and receivable reconciliation.
• Strong Microsoft Excel skills.

Preferred

• Experience in behavioral health, substance use treatment, detox, residential treatment or healthcare services.
• Familiarity with healthcare reimbursement, insurance receivables and patient accounting.
• Understanding of HIPAA and healthcare confidentiality requirements.
• Bachelor's degree in accounting, finance or business administration.

Benefits

• Health, dental, vision and life cover.
• Generous paid time off.
• Merit-based raises and a route to promotion, reviewed on a schedule rather than on request.
• A finance seat with visibility across the whole group rather than one facility.

Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead. Three or more years in accounts receivable, accounts payable, bookkeeping or accounting. Experience working in a healthcare environment. Proficiency in QuickBooks Online. Experience using RAMP expense management software. Experience supporting healthcare billing and receivable reconciliation. Strong Microsoft Excel skills.