Accounting Manager

Accounting Manager – Tempe, AZ (On-Site)

Monday – Friday | 8:00 a.m. – 5:00 p.m.

Location: 2050 S Cottonwood Dr, Tempe, AZ 85282

Total Care Connections—one of the fastest-growing home care organizations in Arizona and Colorado—is seeking a hands-on, highly skilled, roll-up-your-sleeves Accounting Manager to lead our growing accounting function. This is an on-site leadership role designed for someone who loves detailed accounting work, thrives in a fast-paced environment, and is energized by managing a small remote team of bookkeepers and medical billing professionals, including overseas staff.

If you’re a strong technician with excellent communication, a passion for accuracy, and the ability to drive improvements across systems and processes, this role is for you.

What You’ll Do

Hands-On Accounting & Daily Operations

You won’t be sitting back reviewing spreadsheets—you’ll be directly involved in every element of our accounting engine:

• Lead day-to-day accounting and transaction coding across multiple entities.
• Manage weekly billing processes for all payer types: private pay, LTC insurance, Medicaid, VA, and other medical claims.
• Oversee accounts receivable, including aging, reporting, collections, and claim follow-up.
• Oversee accounts payable using Ramp and ensure accurate, timely vendor payments.
• Perform bank reconciliations and general ledger maintenance.
• Reconcile WellSky, KanTime, and other billing systems with QuickBooks Online.
• Record, deposit, and correctly classify checks and incoming payments.
• Manage and improve our Paychex payroll integration to strengthen cost accounting by service line and location.

Financial Reporting & Analysis

• Prepare monthly, quarterly, and annual financial statements.
• Lead cash-to-accrual conversions for internal management reporting.
• Support budget-to-actual reporting and help leadership monitor financial performance.
• Maintain chart of accounts integrity and ensure GAAP compliance.
• Partner with our CPA on audits, tax planning, and financial strategy.

Medical Billing Oversight

• Ensure accuracy, compliance, and timeliness across Medicaid, VA, insurance, and private-pay billing.
• Troubleshoot claim denials and guide the billing team on best practices.
• Manage overseas team members who support medical billing and collections.
• Identify root causes for claim issues and implement long-term solutions.

Team Leadership & Cross-Functional Collaboration

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

Systems, Controls & Process Improvement

• Strengthen internal controls and financial workflows company-wide.
• Identify opportunities to streamline processes, integrate systems, and reduce manual tasks.
• Support property accounting for company-owned office buildings, including rent tracking, CAM reconciliation, and capital improvements.
• Drive continuous improvement across software tools, automations, and reporting accuracy.

What Makes You a Great Fit

• You enjoy doing the accounting work yourself while also leading others.
• You communicate clearly, follow through consistently, and can hold others accountable.
• You’re an Ideal Team Player—humble, hungry, and smart.
• You thrive in a growing organization where processes evolve and improve.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• Minimum of 5 years of progressive accounting experience, including at least 2 years managing or supervising a team.
• Strong proficiency with QuickBooks Online and Excel (pivot tables, VLOOKUP, formulas).
• Experience in healthcare accounting or medical billing strongly preferred.
• Experience with cash-to-accrual conversion and multi-entity accounting.
• Familiarity with Ramp, Paychex, and reconciliations between billing and accounting systems.
• Strong communication, analytical skills, and attention to detail.
• Ability to work on-site and lead a hybrid remote/overseas team effectively.
• Excellent time management and ability to handle multiple priorities.