Controller, Finance & Banking, Accounting Manager

Overview

Position Title:

Controller —

Reports To:

CEO/Founder — Dotted Line: COO

The Controller is responsible for overseeing all accounting, financial controls, and reporting functions for a multi-location dental organization and its affiliated entities. This role ensures the accuracy, integrity, and timeliness of financial information while maintaining strong internal controls, compliance, and fiscal discipline across clinical, administrative, and management services operations.

The Controller plays a critical role in supporting executive leadership by delivering clear financial visibility into practice performance, provider economics, production and collections, insurance activity, and operating margins. This position partners closely with clinical leadership, operations, HR, payroll, and external advisors to ensure the financial infrastructure supports growth, profitability, and long-term sustainability.

This role requires a hands-on financial leader who understands the unique complexities of dental revenue cycles, provider compensation structures, lab and supply costs, and multi-entity healthcare accounting.

• CEO/Founder
• COO
• PE
• Office Managers
• Doctors and Clinical Leadership
• Payroll & HR
• External CPAs, Auditors, and Tax Advisors
• Banking and Merchant Services Providers

The Controller serves as the financial control center for all dental operations.

• Oversee all day-to-day accounting activities across dental practices and MSO entities, including general ledger, AP, AR, payroll coordination, and bank reconciliations.
• Manage monthly, quarterly, and annual close processes with strict deadlines and high accuracy.
• Ensure proper recording of dental revenue, adjustments, insurance receivables, write-offs, refunds, accruals, and prepaids.
• Maintain clean, well-supported balance sheets, including insurance AR, unapplied cash, lab accruals, and payroll liabilities.

• Prepare monthly financial statements by entity, location, and consolidated group.
• Analyze production vs. collections, provider performance, hygiene metrics, and chair utilization.
• Track and report key dental KPIs including collection percentages, insurance aging, lab costs as a percentage of revenue, payroll ratios, and overhead benchmarks.
• Provide leadership with actionable insights into profitability by doctor, service line, and location.

• Partner with billing and revenue cycle teams to ensure accurate posting of production, payments, adjustments, and insurance activity.
• Monitor insurance aging, write-offs, refunds, and unapplied balances.
• Identify trends or risks related to payer mix, delayed collections, or revenue leakage.
• Ensure alignment between clinical systems (e.g., Dentrix Ascend) and accounting records.

• Oversee payroll accounting and coordination, including multi-state payroll and clinical schedules.
• Ensure accurate accounting for doctor compensation, hygiene pay, bonuses, commissions, and incentives.
• Partner with HR to ensure wage, overtime, PTO, and benefit accruals are properly recorded.
• Monitor labor costs relative to production and collections benchmarks.

• Design, implement, and maintain strong internal controls appropriate for a healthcare environment.
• Ensure compliance with GAAP, payroll laws, tax requirements, and healthcare-related financial standards.
• Maintain audit-ready documentation for all balance sheet accounts.
• Support audits, reviews, lender requests, and transaction-related due diligence.

• Monitor cash flow, liquidity, and working capital across all locations.
• Oversee bank accounts, credit cards, merchant services, and patient payment platforms.
• Ensure timely payment of vendors, labs, payroll, taxes, and insurance-related obligations.
• Support leadership with cash planning for expansions, equipment purchases, and new locations.

• Manage accounting across dental practices, and related ownership structures.
• Ensure accurate…