Staff Accountant XRHealth America Inc

XRHealth; Needham Heights (MA); On-site; USD 90,000 - 140,000; Full time

Job summary

XRHealth, a Boston-based digital health company, seeks a qualified accountant to own day-to-day accounting for XR America Inc., including purchase orders, revenue, and product shipments.

You will manage cash flow, vendor payables, bank reconciliations, payroll accruals, tax packages, and financial reporting across entities. Strong Excel and experience with Ramp, Rippling, and HubSpot are valued.

Qualifications

• Bachelor's degree in accounting or related field.
• 3–5 years of full-cycle accounting including AP and month-end close.
• Experience in a multi-entity environment.

Responsibilities

• Manage cash inflows and outflows, monitor daily bank activity, and process payments.
• Handle accounts payable, vendor bills, approvals, and aging.
• Reconcile bank accounts monthly and manage fraud alerts.
• Record payroll expenses and related accruals; manage HR payroll feeds.
• Maintain state filings, annual reports, and tax package prep with outside firm.
• Oversee vendor onboarding, contracts, and insurance certificates.
• Track headcount and payroll costs by department.
• Review travel and expense reimbursements for policy compliance.
• Prepare journal entries and balance sheet reconciliations at month-end.
• Reconcile revenue, AR, and cash for Niko EHR and HubSpot integrations.

Skills

Full-cycle accounting

Multi-entity experience

Excel

COGS

Vendor management

Education

Bachelor's degree in accounting

Tools

Ramp

Rippling

HubSpot

Niko EHR

Job description

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.

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.