Home Health Care Quickbooks Online Financial Controller

Work Location:Remote

Job Type:Remote (Full-Time Contractor)

Company Overview:

We are at the forefront of accounting, bookkeeping, and outsourced CFO services. Our dedication to excellence has allowed us to serve a diverse clientele. We are currently seeking a dedicated administrator for one of our esteemed clients in the home care agency sector based in New York.

**Please make sure you have experience with Medicaid Billing and Revenue Cycle Management - we are on accounting side but you need to understand the cash flows and process of those in the USA to be eligible for this job**

Job Context:

We are seeking a highly skilled and experienced Financial Controller to oversee and manage the financial reporting for a group of home care agencies. The successful candidate will be responsible for ensuring accurate financial management while leading all aspects of financial operations. This role requires strong expertise in financial reporting, compliance, and management, particularly within the home care industry.

In addition to managing overall financial reporting, the Financial Controller will be responsible for daily communication with the coordination team and handling patient and employee queries related to billing and payroll.

Key Responsibilities:

• Oversee and manage the financial reporting for a group of home care agencies, ensuring compliance with U.S. GAAP and other relevant regulations.
• Prepare weekly billing files across all programs/softwares (HHAexchange, Continuilink, Sandata, etc) - This includes reviewing and importing billing files into the billing system
• Prepare private bay billing and charge Credit Cards/ACH
• Manage weekly e-billing submissions

Claims & Rejections

• PrepareHealth First,BCBS, and other insurance claims
• ReviewMedicaid Claims Summary
• Follow up ondenied claimswith Medicaid, commercial insurers, and coordination teams
• Maintain weekly tracking of unbilled and prebilling visits

Payroll

• Run payroll within the home care payroll system
• Review payroll for completeness and accuracy
• Run additional payroll batches when needed
• Process payroll submissions and approvals
• Perform weekly timekeeping checks within HHA software

Accounting

• Perform weeklybank codinginQuickBooks Online (QBO)
• Conduct QBO weekly review for accuracy and proper categorization
• Perform weekly accounts receivable review and follow-ups
• Process recurring charges throughStaxor other payment processors

Bi-Weekly Responsibilities

• Process bi-weekly payroll
• Conduct pre-billing review inSandata
• Import bi-weekly billing files for applicable programs
• Prepare and send billing batches for scheduled bi-weekly cycles

Monthly Responsibilities

• Performmonth-end closein QuickBooks Online
• Complete month-end billing close across all payor programs
• Prepare month-end reconciliation summaries fromBCBS to HHAeX
• Generate monthly report of all denied and outstanding claims
• Submit and reconcile monthly invoices for contracted services
• Prepare recurring monthly payment submissions (rent, vendor obligations, etc.)
• Review and finalize month-end accounts receivable aging

Quarterly / Ad-Hoc Responsibilities

• Perform cleanup of recoupments and outstanding adjustments
• Complete payroll booking cleanup in QBO
• Prepare statistical and operational compliance reports
• Resolve outstanding historical billing issues across systems
• Conduct periodic claim audits and accuracy checks
• Reconcile any insurance-specific or program-specific close-outs

Completed / Ongoing Oversight

• Prepare accurate monthly, quarterly, and year-end financial statements.
• Provide strategic financial oversight, budgeting, cash flow management, and forecasting to optimize financial performance. This requires being comfortable with creating live dashboards / updating cash flow models and tracking various (5+) entity accounts
• Manage and lead the full accounting cycle, including Accounts Payable, Accounts Receivable, and payroll processes.
• Assist with the preparation of state-specific cost reports, including New York cost reports.
• Manage day-to-day financial operations and provide leadership to the finance team.
• Communicate daily with the coordination team to ensure smooth financial processes.
• Utilize QuickBooks Online to track and report on financials.
• Ensure accurate and timely month-end and year-end close processes.

Qualifications:

• Master's or Graduate in Accounting and Finance, or CMA, CA, or ACCA.
• At least 3 years of experience working on the financials and accounting for home care agencies.
• Strong understanding of GAAP and financial reporting standards in the U.S.
• Experience with Medicaid billing processes and managing billing denials.
• Proficient in QuickBooks Online and Microsoft Excel. (Must have, Will be tested in interview)
• Excellent English speaking and writing skills.
• Excellent organizational and leadership skills, with the ability to manage and lead a finance team.
• Strong attention to detail, problem-solving skills, and the ability to work independently in a remote environment.

Required Expertise:

• Certification: CPA or ACCA or CIMA
• Knowledge of : GAAP and EXCEL WIZARD/PRO
• Accounting Management Tools: QuickBooks Online and Microsoft Excel
• Language: English (Professional Level)

Skills & Qualities:

• An acute attention to detail and a commitment to accuracy.
• Robust organizational and time-management prowess.
• Exceptional communication skills, encompassing both written and verbal facets.
• The agility to work autonomously as well as collaboratively within a dynamic team setting.

Working Hours:

• This is 9AM EST - 6PM EST USA Time Zone Monday - Friday