Staff Accountant XRHealth America Inc

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

Job summary

XRHealth America Inc in Needham, MA is seeking a Staff Accountant to handle day-to-day accounting for XR America, including payables, revenue, and inventory-related activities.

You will reconcile bank accounts, process vendor bills, payroll interfaces, and assist with month-end close, ensuring accurate and timely financial reporting.

Qualifications

• Bachelor's degree in accounting or related field required.
• Three to five years of full-cycle accounting experience including AP and month-end close.
• Experience in multi-entity environments and keeping entities cleanly separated.
• Hands-on with purchase orders, inventory, or cost of goods sold in a product business.
• Comfort with Ramp, Rippling, and a CRM such as HubSpot or ability to pick up finance systems quickly.
• Strong Excel skills and meticulous close calendar adherence.
• Healthcare or clinical services billing exposure is a plus.

Responsibilities

• Monitor daily cash inflows and outflows; process receipts and payments.
• Process vendor bills; code to the right accounts; manage payables aging.
• Reconcile all entity bank accounts monthly and respond to fraud alerts.
• Record payroll expenses and related accruals in the general ledger; HR processes payroll.
• Maintain state filings and annual reports; manage filing calendar.
• Prepare workpapers and oversee asset depreciation; assemble tax package.

Skills

Excel

Attention to detail

Analytical skills

Education

Bachelor's degree in accounting

Tools

Ramp

Rippling

HubSpot

Job description

Staff Accountant XRHealth America 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, and hold partnerships 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 America Inc. Alongside the core accounting for the entity, this role carries the purchase order, revenue, and product shipment activity for XR America.

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, oversee 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.
• Niko EHR. Reconcile clinical and billing activity in Niko to recorded revenue, accounts receivable, and cash received, and investigate variances between delivery, billing, and collection.
• HubSpot. Own the accounting view of supplier purchase orders and revenue held in HubSpot. Keep purchase order records accurate and matched to vendor bills, tie booked revenue to the general ledger, maintain deferred revenue, and reconcile HubSpot to the books monthly.
• Product shipments. Account for inventory/fixed assets and cost of goods sold, including in-transit units, freight, and duties. Perform the three-way match of purchase order, shipment, and invoice, resolve discrepancies with suppliers and operations, and support periodic inventory counts.

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.
• Hands-on experience with purchase orders, inventory, or cost of goods sold in a product business.
• Comfort in Ramp, Rippling, and a CRM such as HubSpot, or a demonstrated ability to pick up finance systems quickly.
• Strong Excel, strong attention to detail, and the discipline to achieve close calendar expectations.
• Healthcare or clinical services billing exposure is a plus.