Financial Accounting Manager, Home Health & Hospice

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The Financial Accounting Manager – HCBS is responsible for overseeing the financial operations, reporting, and compliance of the organization’s Home and Community-Based Services (HCBS) division. This role ensures accurate accounting practices, timely financial reporting, and adherence to all federal, state, and payer regulations specific to HCBS programs. Requiring a professional who deeply understands HCBS billing, AR management, and payer reimbursement processes.

• Oversee daily accounting operations for HCBS, including accounts payable, accounts receivable, payroll allocations, and general ledger maintenance.
• Lead the full accounts receivable (AR) cycle, including claim submission, payment posting, denial management, and reconciliation of outstanding balances.
• Monitor AR aging reports, identify trends in payment delays or denials, and implement strategies to improve collections and reduce days sales outstanding (DSO).
• Ensure accurate and timely billing to Medicare, managed care organizations (MCOs), private pay, and other funding sources.
• Collaborate with billing and operations teams to resolve claim errors, eligibility issues, service authorization discrepancies, and payer rejections.
• Maintain payer portals and ensure compliance with billing requirements, documentation standards, and reimbursement guidelines.
• Prepare and analyze monthly, quarterly, and annual financial statements.
• Monitor budgets, forecasts, and cash flow to ensure operational and fiscal compliance with state Medicaid and HCBS funding guidelines.
• Reconcile financial data and ensure proper revenue recognition from Medicaid, private pay, and other funding sources.
• Partner with operations leaders to evaluate financial performance and identify opportunities for cost efficiencies and growth.
• Support external audits, cost reporting, and compliance reviews; prepare documentation and coordinate responses.
• Manage month-end and year-end close processes, ensuring accuracy and timeliness.
• Implement and maintain internal controls to safeguard assets and ensure regulatory compliance.
• Assist with developing financial policies, procedures, and system improvements that enhance transparency and accountability.
• Provide oversight of collections staff (if applicable) and ensure timely follow-up on outstanding AR.
• Prepare AR-related KPIs and report trends to leadership, identifying risks and solutions to protect revenue and optimize cash flow.

• 5+ years of progressive accounting experience, with at least 2 years in a supervisory or managerial role.
• Proven experience in financial reporting, general ledger management, and month-end/year-end close processes.
• Experience preparing and reviewing financial statements in compliance with GAAP.
• Background in healthcare, manufacturing, or multi-entity organizations preferred (customize as needed).
• Experience with ERP/accounting systems (e.g., Net Suite, Oracle, SAP, Sage, or Quick Books Enterprise).
• Strong working knowledge of Medicaid and MCO reimbursement processes preferred.
• Experience managing AR, billing, or revenue cycle functions within a healthcare or HCBS environment strongly preferred.

We are an Equal opportunity employer;
We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package.

Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.

Mid-Senior level

Full-time

Finance and Sales

Hospitals and Health Care