Manager – US Healthcare Accounts Receivable and Accounting Operations

This is a hands-on Manager role with an immediate responsibility to strengthen the company's US Healthcare Accounts Receivable performance while supporting broader Accounting Operations.
The successful candidate will own the post-billing Accounts Receivable function, improve collections, reduce aged receivables and strengthen cash flow across all revenue streams.
In addition, the successful candidate will work closely with company's external financial provider, supporting month-end accounting activities, financial reporting, reconciliations, review of financial information and ensuring the accuracy and integrity of financial data provided to management.
This is not a Billing role. Billing and claims submission remain the responsibility of company's Billing Specialist.

As company grows, this role has the opportunity to progressively assume broader Finance Operations responsibilities. Depending on future organizational requirements, the successful candidate may ultimately develop into a Finance Manager role or continue leading Accounts Receivable and Accounting Operations while reporting to a future Finance Manager.

Experience
7–10 years  of experience.

Working Hours
US Eastern Time business hours. Typically:
5:30 PM – 2:30 AM IST  (Mandatory full-time remote role.)

Qualifications & Experience
Essential
Demonstrated experience in US Healthcare Accounts Receivable and provider collections.
Proven success collecting receivables from US clinics, hospitals, physician groups or healthcare provider organizations.
Demonstrated experience improving collections performance, reducing aged receivables and improving DSO.
Strong reconciliation and Accounts Receivable control experience.
Demonstrated experience supporting accounting operations in a  US accounting environment,  including month-end close activities, financial reporting, P&L and Balance Sheet review, reconciliations and working with accounting systems.
Experience working with external accountants or finance providers.
Advanced Microsoft Excel skills including Pivot Tables, XLOOKUP/VLOOKUP, financial reporting and analysis.
Working knowledge of US accounting standards (US GAAP) and experience supporting financial reporting within a US-based business.

Experience with Quick Books or similar accounting systems.
Excellent written and spoken English with confidence communicating directly with US customers and internal stakeholders.
Bachelor's degree in accounting, Finance or Commerce.

Key Responsibilities
1. Accounts Receivable Ownership (Immediate Priority)
Own end-to-end post-billing Accounts Receivable across all company's revenue streams.
Drive collections performance to improve cash flow and reduce aged receivables.
Develop practical collection strategies to accelerate payment recovery.
Personally engage with US clinics, physician groups, hospitals and finance contacts to secure timely payment.
Manage payment follow-up, AR ageing, dispute resolution and collection escalations.
Drive measurable improvements in DSO and collection effectiveness.
Identify high-risk accounts and recommend corrective actions.
2. Revenue Reconciliation & Financial Accuracy
Perform end-to-end reconciliation across billing outputs, invoices, customer payments and bank receipts.
Validate the accuracy of revenue and cash collections.
Investigate reconciliation discrepancies and resolve issues with internal stakeholders.
Maintain accurate Accounts Receivable records and reporting.
3. Billing Alignment (Non-Billing Role)
Work closely with the Billing Specialist to ensure alignment between claims submitted, billed revenue and cash collected.
Identify operational issues affecting payment collection.
Improve communication and workflow between Billing and Accounts Receivable.
4. Accounting Operations &…