AR/AP Accounting Specialist — Austin, TX
Listed on 2026-10-17
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Accounting
Accounts Receivable/ Collections, Bookkeeper/ Accounting Clerk, Financial Reporting, Accounting & Finance
Both sides of the ledger for a group of behavioral health and recovery companies — patient and insurance receivables on one side, vendor invoices and card reconciliations on the other. The interesting part is the middle: making the billing system and Quick Books agree, and finding out why when they do not.
Schedule- Full time, Monday to Friday, business hours.
- Month-end and year-end close are the busy weeks — the rest of the month is steadier.
- Based in Austin, working alongside the internal revenue cycle team.
- Maintain and reconcile patient and insurance receivable balances.
- Post and reconcile cash receipts and deposits, and investigate unapplied cash, credits and adjustments.
- Review accounts receivable aging and assist with collection efforts.
- Reconcile receivable activity between the billing system and Quick Books Online.
- Work with the internal revenue cycle team on billing, collections, adjustments, refunds and write-offs.
- Review, code and process vendor invoices, and confirm approval and support before payment.
- Process vendor payments by ACH, check and wire, and keep vendor records and W-9s in order.
- Manage employee expense reports and reimbursements through RAMP, and reconcile company cards.
- Prepare bank, credit card, AR and AP reconciliations, and support month-end and year-end close.
- Prepare weekly and monthly receivable and collection summaries for management.
- Support external audits and financial reviews with documentation.
- Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead.
- Three or more years in accounts receivable, accounts payable, bookkeeping or accounting.
- Experience working in a healthcare environment.
- Proficiency in Quick Books Online.
- Experience using RAMP expense management software.
- Experience supporting healthcare billing and receivable reconciliation.
- Strong Microsoft Excel skills.
- Experience in behavioral health, substance use treatment, detox, residential treatment or healthcare services.
- Familiarity with healthcare reimbursement, insurance receivables and patient accounting.
- Understanding of HIPAA and healthcare confidentiality requirements.
- Bachelor's degree in accounting, finance or business administration.
- Health, dental, vision and life cover.
- Generous paid time off.
- Merit-based raises and a route to promotion, reviewed on a schedule rather than on request.
- A finance seat with visibility across the whole group rather than one facility.
Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead. Three or more years in accounts receivable, accounts payable, bookkeeping or accounting. Experience working in a healthcare environment. Proficiency in Quick Books Online. Experience using RAMP expense management software. Experience supporting healthcare billing and receivable reconciliation. Strong Microsoft Excel skills.
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