Staff Accountant XRHealth America Inc

XRHealth; Needham (MA); Sur place; USD 70 000 - 105 000; Plein temps

Résumé du poste

XRHEALTH INC in Boston seeks a hands-on Accountant to manage day-to-day accounting for XR America. You will handle cash flows, accounts payable, and GL entries for a multi-entity setup, ensuring timely month-end close.

The role includes payroll via Rippling, vendor onboarding, state filings, tax reporting, and inventory/COGS for product shipments, all while collaborating with finance and operations to keep books accurate.

Qualifications

• Bachelor's degree in accounting or related field.
• 3–5 years of full-cycle accounting including accounts payable and month-end close.
• Experience in a multi-entity environment with clean separation of entities.
• Hands-on with purchase orders, inventory, or COGS in a product business.
• Familiarity with Ramp, Rippling, and HubSpot or ability to learn quickly.
• Strong Excel skills and meticulous attention to detail.

Responsabilités

• Cash inflows and outflows: monitor bank activity, apply receipts, and prepare payments.
• Ramp: process vendor bills, code to accounts, manage approvals and aging.
• Bank reconciliation and exception resolution for entity accounts.
• Rippling: record payroll expense and employer taxes, reconcile to GL.
• State filings and annual reports; maintain filing calendar and deadlines.
• Tax reporting: prepare workpapers, 1099s, and liaise with outside firm.
• Vendor management: onboard with W-9s, verify banking, reconcile statements.
• Headcount and payroll cost reporting by department each month.
• Month-end close: journal entries, accruals, prepaids, reconciliations.
• Product shipments: inventory/COGS, three-way PO/ship/invoice matching.

Connaissances

Excel

Attention to detail

Multi-entity accounting

HubSpot CRM familiarity

Ramp / Rippling proficiency

Formation

Bachelor's degree in accounting

Outils

Ramp

Rippling

HubSpot

Description du poste

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.