Accounting Manager | Controller

Controller

Location: On-Site

Schedule: Full-Time

Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m.

Lead the Accounting Engine of One of the Fastest-Growing Home Care Companies

Total Care Connections, one of the fastest-growing home care organizations in Arizona and Colorado, is seeking a hands‑on, highly skilled Controller to lead our growing accounting function.

This is not a role for someone who wants to sit back and delegate everything. We are looking for a true roll‑up‑your‑sleeves financial leader who loves detailed accounting work, thrives in a fast‑paced environment, and is energized by leading a small remote team of accounting, medical billing, and IT professionals, including overseas staff.

If you are a strong accounting technician, an excellent communicator, and someone who takes pride in accuracy, systems, and clean financial reporting, this role is for you.

• Leading day‑to‑day accounting and transaction coding across multiple entities
• Managing weekly billing processes across all payer types including private pay, Medicaid, VA, LTC insurance, and medical claims
• Overseeing accounts receivable including aging, reporting, collections, and claim follow‑up
• Overseeing accounts payable through Ramp and ensuring accurate, timely vendor payments
• Performing bank reconciliations and general ledger maintenance
• Reconciling Well Sky, Kan Time, and other billing/EHR systems with Quick Books Online
• Recording, depositing, and accurately classifying incoming checks and payments
• Managing and improving Paychex payroll integration to strengthen cost accounting by service line and location

• Prepare monthly, quarterly, and annual financial statements
• Lead cash‑to‑accrual conversions for internal management reporting
• Support annual budgeting and forecasting in partnership with internal leadership
• Provide budget‑to‑actual reporting to help leadership monitor financial performance
• Maintain chart of accounts integrity and ensure GAAP compliance
• Partner with external CPA support for audits, tax planning, and financial strategy

• Ensure billing is accurate, compliant, and timely across all payer sources
• Troubleshoot claim denials and guide the billing team toward best practices
• Manage overseas billing and collections team members
• Identify root causes of recurring billing issues and implement long‑term solutions

• Lead a small remote accounting and billing support team, including international staff
• Work closely with the COO and CEO to ensure financial visibility and operational alignment
• Support credentialing oversight to ensure licenses, enrollments, and certifications remain current
• Lead IT support staff and vendors to ensure systems performance and data accuracy
• Collaborate with operations, recruiting, and scheduling teams to improve workflows and financial processes

• Strengthen internal controls and improve financial workflows company‑wide
• Streamline processes, integrate systems, and reduce manual tasks
• Support property accounting for company‑owned buildings, including rent tracking, CAM reconciliation, and capital improvements
• Drive continuous improvement across software tools, automations, and reporting accuracy

You are someone who:

• Enjoys doing the accounting work personally while also leading others
• Communicates clearly, follows through consistently, and holds others accountable
• Thrives in a fast‑moving organization where processes evolve and improve
• Brings the mindset of an Ideal Team Player: humble, hungry, and smart
• Loves structure, accuracy, and solving complex financial and operational challenges

• Bachelor’s degree in Accounting, Finance, or related field required
• Minimum of 5 years of progressive accounting experience
• At least 2 years of management or supervisory experience
• Strong proficiency in Quick Books Online and Excel (pivot tables, VLOOKUP, formulas)
• Experience with multi‑entity accounting and cash‑to‑accrual conversions
• Healthcare accounting and medical billing oversight experience strongly preferred
• Familiarity…