Staff Accountant XRHealth USA Inc

XRHEALTH INC; Needham (MA); On-site; USD 85,000 - 120,000; Full time

Job summary

XRHealth INC is seeking a capable accounting professional to manage day-to-day accounting for XR USA in Needham, MA. You will oversee cash flow, month-end close, and coordination with the RCM team to ensure timely and accurate financial reporting.

The role emphasizes maintaining multi-entity records, processing payroll and benefits, tax reporting, and vendor management while ensuring compliance and accurate balance sheet reconciliation. Strong Excel and detail orientation are required.

Qualifications

• Bachelor's degree in accounting or related field.
• 3–5 years of full-cycle accounting experience including accounts payable and month-end close.
• Experience in multi-entity environment and keeping entities cleanly separated.
• Comfort with Ramp and Rippling or ability to quickly learn finance systems.
• Strong Excel skills and attention to detail for monthly close.

Responsibilities

• Manage cash inflows and outflows, apply receipts, run payments, and code cash movements.
• Process vendor bills, code to accounts, route approvals, manage payables aging, and reconcile card transactions.
• Monthly bank reconciliation, resolve exceptions, and monitor fraud/positive pay alerts.
• Record payroll expenses and related accruals in the general ledger using Rippling; HR payroll processing ownership on this side.
• Maintain state registrations, annual reports, and a filing calendar with deadlines.

Skills

Full-cycle accounting

Multi-entity environment

Excel

Attention to detail

Close calendar

Education

Bachelor's degree in accounting

Tools

Ramp

Rippling

Athelas EHR

Job description

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.

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.