Staff Accountant, XR USA Inc

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

Staff Accountant, XR USA Inc

XRHEALTH INC Needham, Massachusetts, United States

About this position

About XRHEALTH INC

XRHealth is a Boston-based digital health company pioneering extended reality (XR) therapeutics. Our clinically validated platform delivers physical therapy, pain management, and behavioral health treatment directly to patients at home, on a device prescribed as durable medical equipment and reimbursed by Medicare.

We have treated more than 50,000 patients, delivered over one million therapy sessions, andholdpartnerships across Medicare, the VA, commercial payers, employers, and health systems. Our Products business is growing quickly, and this role sits at the center of that growth.

Why this role exists

This role is responsible for all day-to-day accounting activity for XR USA. Alongside the core accounting for the entity, you will work with the RCM team to manage cash flow and provide the necessary information to close the entity's books each month.

What you'll own

• Cash inflows and outflows. Monitor daily bank activity, apply receipts, prepare payment runs, and keep cash coded correctly as it moves.
• Ramp. Process all vendor bills, code them to the right accounts and departments, route approvals, manage the payables aging, and keep card transactions supported with receipts.
• Bank accounts. Reconcile all accounts for the entity monthly, clear exceptions quickly, respond to fraud and positive pay alerts, and maintain access requests.
• Rippling. Record and reconcile payroll expense, employer taxes, benefits, and related accruals to the general ledger. HR processes payroll; this role owns how it lands in the books.
• State filings. Maintain the entity's registrations, annual reports, and state-level accounts, and keep a filing calendar that flags deadlines before they arrive.
• Tax reporting. Prepare workpapers, fixed asset and depreciation schedules, and 1099s, and assemble the tax package for our outside accounting firm, which files the returns.
• Vendor management. Onboard vendors with W-9s and verified banking details, track contracts and certificates of insurance, reconcile statements, and handle vendor inquiries.
• Headcount. Track hires and terminations and publish monthly headcount and payroll cost reporting by department.
• Travel and employee expenses. Review reimbursements and corporate card spend against policy and follow up on exceptions directly with employees.
• Month-end close. Prepare journal entries, accruals, prepaids, and balance sheet reconciliations, and write variance commentary for the Controller.
• Athelas EHR. Reconcile clinical and billing activity in Athelus to recorded revenue, accounts receivable, and cash received. Investigate variances between what was delivered, what was billed, and what was collected, and flag patterns that need attention.

What you'll need

• 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.