Revenue Controller

Adaptive Innovations Inc; New York (NY); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Competitive salary

Health insurance

401(k) with employer contribution

Growth opportunities

Collaborative team

Job summary

Adaptive Innovations Inc in New York is seeking a Revenue Controller to own the integrity of revenue from patient admission through cash collection, partnering with RCM and clinical leaders to drive cash and reduce leakage across the RCM process.

The role requires CPA and 5+ years of experience in revenue cycle accounting, with a focus on Medicare and commercial reimbursement; you will lead a growing finance team and drive automation across EMR, billing, and ERP systems.

Qualifications

• CPA certification required.
• 5+ years of experience with 2+ years at a public accounting firm.
• Healthcare experience, preferably hands-on exposure to the full RCM cycle in a provider setting with working knowledge of Medicare and commercial reimbursement.

Responsibilities

• Lead the monthly and quarterly revenue close under GAAP, including ASC 606 recognition for episodic (PDGM), per-visit, and managed care arrangements.
• Identify opportunities for improvement across our RCM and billing and collections process.
• Own gross-to-net policies and estimates: contractual allowances, implicit price concessions, bad debt, and unbilled revenue (RAPs/NOAs, held claims, open episodes).
• Reconcile net revenue and cash to the billing system and general ledger; investigate variances and unapplied cash.
• Partner with RCM across intake, authorization, coding, claims, denials, and collections to reduce leakage and DSO; approve write-offs and refunds per policy.
• Deliver revenue and AR reporting, KPIs, and variance analysis for the CFO, executive team, and Board; support budgeting and forecasting.
• Maintain internal controls over order-to-cash and serve as the primary revenue contact for external auditors, cost reports, and payer or CMS reviews.
• Automate accounting workflows across the EMR, billing platform, and ERP, and build a scalable finance infrastructure for growth, acquisitions, and future capital markets activity.
• Lead, develop, and mentor a growing team.

Skills

GAAP knowledge

ASC 606

Financial analysis

Education

CPA

Tools

EMR

Billing platform

ERP

Job description

We are fixing US healthcare by building an AI-native physical care platform, starting with home health.

Home health is a $140B industry with less than $10B in EBITDA — 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.

By reshaping the cost structure of this industry, we unlock its growth.

We've built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans to build a new type of healthcare company: one that delivers care at the speed of an AI company.

Our physical care platform already operates with 30pp higher gross margins than traditional home health providers. With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry. If we served this entire $140B market, instead of $10B in EBITDA, we'd drive $60B.

We're starting with home health, then expanding to all delivered care. Our mission is "any care, any where".

Fundamentally, our incentives are aligned with America. Every dollar in revenue we make is two dollars taken out of the healthcare system. If we succeed, so does US healthcare.

About the role

The Revenue Controller owns the integrity of revenue from patient admission through cash collection at Adaptive Innovations, a rapidly growing home health company. Sitting at the intersection of revenue cycle management (RCM) and technical accounting, you will run the revenue close, own reserves and order-to-cash controls, and partner with RCM, clinical, and operations leaders to drive cash and reduce leakage across our RCM process.

What You'll Own

• Lead the monthly and quarterly revenue close under GAAP, including ASC 606 recognition for episodic (PDGM), per-visit, and managed care arrangements.
• Identify opportunities for improvement across our RCM and billing and collections process.
• Own gross-to-net policies and estimates: contractual allowances, implicit price concessions, bad debt, and unbilled revenue (RAPs/NOAs, held claims, open episodes).
• Reconcile net revenue and cash to the billing system and general ledger; investigate variances and unapplied cash.
• Partner with RCM across intake, authorization, coding, claims, denials, and collections to reduce leakage and DSO; approve write-offs and refunds per policy.
• Deliver revenue and AR reporting, KPIs, and variance analysis for the CFO, executive team, and Board; support budgeting and forecasting.
• Maintain internal controls over order-to-cash and serve as the primary revenue contact for external auditors, cost reports, and payer or CMS reviews.
• Automate accounting workflows across the EMR, billing platform, and ERP, and build a scalable finance infrastructure for growth, acquisitions, and future capital markets activity.
• Lead, develop, and mentor a growing team.

What We're Looking For

• CPA
• 5+ years of experience with 2+ years at a public accounting firm
• Healthcare experience, preferably hands-on exposure to the full RCM cycle in a provider setting with working knowledge of Medicare and commercial reimbursement

Nice to haves

• Track record managing close, audits, and controls in a high-growth company
• Ability to explain revenue drivers to non-finance leaders
• Home health or hospice experience

Preferred Qualifications

• Direct experience negotiating or implementing commercial and Medicare Advantage contracts
• Familiarity with credentialing, enrollment, and value-based payment arrangements
• Experience with contract management, claims analysis, or revenue cycle reporting tools

What We Offer

• Competitive salary and equity compensation
• Comprehensive health insurance, dental, and commuter benefits
• 401(k) retirement plan with employer contribution
• Opportunity for growth in a fast-growing company
• Collaborative team valuing innovation and problem-solving