Staff Accountant: Multi-Entity Close & Cash Flow

XRHEALTH INC; Needham (MA); On-site; USD 65,000 - 90,000; Full time

Job summary

XRHealth Inc. in Needham, MA is seeking a Staff Accountant to own day-to-day accounting for XR USA. You will manage cash flow, close monthly books, and collaborate with the RCM team to ensure accurate financials across the entity.

The role involves reconciling bank accounts, processing payroll and vendor bills, managing state filings, and producing workpapers for tax and external firm filing. A strong Excel background and healthcare billing exposure are a plus.

Qualifications

• Bachelor's degree in accounting or a related field.
• Three to five years of full-cycle accounting experience including accounts payable and month-end close.
• Experience working in a multi-entity environment and keeping entities cleanly separated.
• Comfort in Ramp and Rippling, or a demonstrated ability to pick up finance systems quickly.
• Strong Excel, strong attention to detail, and the discipline to hit a close calendar every month.
• Healthcare or clinical services billing exposure is a plus.

Responsibilities

• Monitor daily cash inflows and outflows, apply receipts, prepare payment runs, and keep cash accurately coded.
• Process vendor bills, code to the correct accounts, route approvals, manage payables aging, and reconcile card transactions.
• Reconcile all entity bank accounts monthly and respond to fraud/alerts while maintaining access controls.
• Record and reconcile payroll expense, employer taxes, benefits, and related accruals to the general ledger; HR processes payroll.
• Maintain entity registrations, annual reports, and state accounts; manage filing calendar.
• Prepare workpapers, depreciation schedules, and 1099s; assemble tax package for external firm.
• Onboard vendors with W-9s and verified banking details; track contracts and certificates of insurance.
• Track hires/terminations and publish monthly headcount and payroll cost by department.
• Review travel and employee expense reimbursements against policy and follow up on exceptions.
• Prepare journal entries, accruals, prepaids, and balance sheet reconciliations; write variance commentary for Controller.
• Reconcile clinical and billing activity in Athelas to revenue, AR, and cash received; flag variances for attention.

Education

Bachelor's degree in accounting

Tools

Ramp

Rippling

Athelas EHR

Job description

XRHealth Inc. in Needham, MA is seeking a Staff Accountant to own day-to-day accounting for XR USA. You will manage cash flow, close monthly books, and collaborate with the RCM team to ensure accurate financials across the entity.

The role involves reconciling bank accounts, processing payroll and vendor bills, managing state filings, and producing workpapers for tax and external firm filing. A strong Excel background and healthcare billing exposure are a plus.