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

Are you a hands-on, detail-oriented professional who thrives in a fast-paced environment and enjoys digging into the day-to-day accounting while also managing the big picture? Total Care Connections—one of the largest home care providers in Arizona and Colorado—is seeking a highly motivated Accounting Manager to join our team in Tempe, AZ.

This position is a full-time, on-site role and will oversee all day-to-day accounting functions while playing a key role in supporting our financial infrastructure as we continue to grow.

About the Role

As our Accounting Manager, you won’t just be sitting back overseeing numbers—you’ll be rolling up your sleeves and diving into the financial engine of our company. This position combines operational accounting, financial reporting, process improvement, and departmental oversight. You will collaborate with leadership, external CPAs, operations, and other departments to ensure accuracy, compliance, and clarity in our financial processes.

You’ll be responsible for a wide range of responsibilities, including billing, payables, receivables, reconciliations, reporting, systems alignment, and overseeing financial support functions such as IT and credentialing.

Key Responsibilities

Day-to-Day Accounting Operations

• Perform and oversee weekly billing processes for all payer types (private pay, long-term care insurance, Medicaid, VA, and other medical claims).
• Manage accounts receivable, including collections, reporting, aging analysis, and client communications.
• Manage accounts payable, ensuring timely and accurate vendor payments.
• Conduct bank and account reconciliations across all financial platforms.
• Record and deposit incoming checks weekly and ensure proper classification in accounting systems.
• Reconcile billing software data (e.g., Wellsky and Kantime) with QuickBooks Online to ensure financial accuracy.

Financial Reporting & Compliance

• Prepare and analyze monthly, quarterly, and annual financial statements.
• Assist in cash-to-accrual conversion of financial reports for internal management purposes.
• Collaborate with our CPA for tax planning, audits, and financial strategy.
• Monitor financial metrics and trends to identify areas of improvement or concern.
• Maintain and oversee general ledger integrity and chart of accounts.

Medical Claims Oversight

• Ensure accuracy and timeliness of medical billing and collections across Medicaid, VA, and insurance payers.
• Troubleshoot and resolve claim issues, denials, and billing discrepancies.
• Collaborate with our internal billing team to ensure claims and billing practices align with compliance standards.

Department Oversight

• Oversee Credentialing to ensure all required licenses, payer enrollments, and certifications are up to date.
• Oversee IT support function, coordinating with vendors and internal staff to ensure uptime, security, and performance.
• Work cross-functionally with recruiters, schedulers, and executives to align on process improvement and integration of systems.

Systems & Process Improvement

• Lead initiatives to improve efficiency in accounting and billing workflows.
• Maintain and improve internal controls over financial transactions and reporting.
• Evaluate current tools and recommend updates to software or systems to improve reporting and scalability.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• Minimum of 5 years of accounting experience, with at least 2 years in a managerial or supervisory role.
• Proficient in QuickBooks Online and Microsoft Excel (pivot tables, VLOOKUP, etc.).
• Familiarity with billing and accounting in a healthcare environment strongly preferred.
• Experience with cash-to-accrual accounting conversion highly desirable.
• Strong understanding of GAAP and accounting best practices.
• Experience with medical billing (Medicaid, VA, private insurance) preferred.
• Experience reconciling multiple financial systems (e.g., billing software + accounting software).
• Excellent attention to detail, organizational skills, and ability to meet deadlines.
• Ability to manage multiple priorities in a fast-paced environment.