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Accounting Manager - Revenue

Role overview

Summary

This role is for managing revenue accounting and controls at Luna Care, focusing on healthcare services revenue reporting and accounts receivable valuation. You will oversee financial integrity and vendor governance while driving improvements in financial architecture and reporting.

Qualifications

  • Bachelor’s degree in Accounting, Finance, or a related field.
  • 7+ years of progressive accounting experience with a strong foundation in revenue recognition (ASC 606), accounts receivable valuation, and internal controls.
  • Deep knowledge of healthcare reimbursement models, insurance claims workflows, and Revenue Cycle Management (RCM).
  • Advanced Microsoft Excel capabilities and solid experience navigating modern ERP environments.
  • Proven ability to analyze complex billing subledgers, reconcile massive datasets, and communicate financial insights across business units.

Responsibilities

  • Lead the monthly revenue close under ASC 606, managing journal entries, accruals, reserves, and reconciliations.
  • Act as the independent financial checkpoint for outsourced RCM partners, enforcing SLAs and monitoring performance metrics.
  • Investigate billing trends and identify reimbursement shortfalls, collaborating cross-functionally to recover yield.
  • Analyze revenue per visit, market trends, and payer mix to guide budgeting and pricing strategies.

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Communication

About the company

Luna Physical Therapy logo

Luna Physical Therapy

  • Medical Practices & Clinics
  • Large
  • 1,001–5,000
Luna is the leading in-home physical therapy platform, offering 1:1 personalized care at home that is covered by insurance. By shifting treatment from the clinic to the home, Luna is reinventing outpatient physical therapy and improving convenience, access, safety, and adherence. Luna’s licensed therapists are available seven days a week and can be requested via the app. Luna is proud to partner with outstanding healthcare providers like Emory Health, Scripps Health, UCLA Health, and Intermountain Healthcare.

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Job description

Are you a proactive accounting leader who thrives at the intersection of complex financial data, healthcare reimbursement, and internal controls? Luna Care is seeking a Revenue Accounting & Controls Manager to take full ownership of our healthcare services revenue reporting, accounts receivable valuation, and outsourced RCM financial oversight. If you love digging into the details, plugging revenue leakage, and driving scalable automated reporting from the ground up, we want to hear from you.
How you will have an impact
  • Drive Revenue Integrity & Close Excellence: Lead the monthly revenue close under ASC 606, managing journal entries, accruals, reserves, and reconciliations to deliver audit-ready, institutional-grade financials.

  • Oversee Strategic Vendor Governance: Act as the independent financial checkpoint for our outsourced RCM partner—enforcing SLAs, monitoring performance metrics (denials, clean-claim rates, NCR), and holding vendors accountable to corrective actions.

  • Plug Revenue Leakage & Protect Cash: Investigate billing trends and identify reimbursement shortfalls, unbilled services, and missed authorizations, collaborating cross-functionally to recover yield and improve cash conversion.

  • Modernize Financial Architecture: Lead NetSuite and RCM system integration enhancements, automating reconciliations, exception reporting, and controls to eliminate manual workflows.

  • Provide Actionable Commercial Intelligence: Analyze revenue per visit, market trends, and payer mix to guide budgeting, executive forecasting, and pricing strategies.

    What You Will Do

    • Reconcile completed patient visits, billable services, claims, cash postings, and unapplied cash between RCM subledgers and NetSuite.

    • Oversee AR valuation, aging schedules, collectability, implicit price concessions, contractual allowances, and bad debt reserves by payer and market.

    • Establish and maintain internal controls, write-off approvals, and segregation of duties across revenue operations.

    • Validate claim-level data against financial statements to ensure accurate payment posting, aged AR management, and timely collections.

    • Partner with Operations, Finance, and Tech teams to design automated dashboards and eliminate recurring operational bottlenecks.


  • What Luna can do for you
  • Comprehensive health coverage (medical, dental, and vision) for you and your family on the first of the month following your start date.
  • Flexible PTO and paid holidays to recharge and care for what matters most.
  • 401(k) with company match to invest in your future.
  • Wellness benefits, paid life insurance, and more!
  • Remote-first flexibility with opportunities to connect in person at company gatherings.
  • A culture built on trust, purpose, and belonging—where every voice matters.

  • What you can do for Luna

    Required Qualifications:

    • Bachelor’s degree in Accounting, Finance, or a related field.

    • 7+ years of progressive accounting experience with a strong foundation in revenue recognition (ASC 606), accounts receivable valuation, and internal controls.

    • Deep knowledge of healthcare reimbursement models, insurance claims workflows, and Revenue Cycle Management (RCM).

    • Advanced Microsoft Excel capabilities and solid experience navigating modern ERP environments.

    • Proven ability to analyze complex billing subledgers, reconcile massive datasets, and communicate financial insights across business units.

    • Strongly Preferred Qualifications:

      • Active CPA license.

      • Hands-on NetSuite implementation or systems integration experience.

      • Prior experience in outpatient healthcare, physical therapy, or multi-site clinic operations.

      • Experience managing outsourced RCM vendor SLAs, remediation plans, and vendor audits.

      • Familiarity with business intelligence tools such as Power BI or SQL.

    Physical therapy, delivered. www.getluna.com   #LI-KC1 #LUNACORP1
    Salary: 118000 - 132000 USD per year

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