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Location: Fort Worth / DFW Metroplex
Employment Type: Full-Time | Primary In-Office
About the Role
A well-established, mission-driven hospice organization is seeking an experienced Hospice Accounting Manager to oversee the full accounting function in a Medicare-driven healthcare environment. This is a hands-on role responsible for financial accuracy, compliance, and reporting, working closely with executive leadership.
The ideal candidate brings strong healthcare accounting experience, is comfortable owning the accounting process end-to-end, and enjoys working closely with leadership to support sound financial and operational decision-making.
Key Responsibilities
Accounting & Financial Reporting
- Oversee full-cycle accounting, including general ledger, reconciliations, and month-end close
- Prepare and review monthly, quarterly, and annual financial statements
- Ensure GAAP-compliant reporting and accurate accruals
- Monitor cash flow, operating margins, and financial performance metrics
- Perform balance sheet reconciliations and account analysis
- Manage year-end close and audit preparation
- Coordinate payroll and perform payroll reconciliations
- Maintain accounts receivable aging
Hospice Reimbursement & Compliance
- Reconcile Medicare, Medicaid, and insurance payments
- Monitor hospice cap calculations, sequestration, and recapture exposure
- Support hospice cost reports and collaborate with external consultants
- Ensure compliance with CMS, state, and payer regulations
Budgeting & Controls
- Prepare budgets and financial reports for leadership
- Analyze budget vs. actual variances
- Maintain strong internal accounting controls
- Support internal and external audits
Qualifications
Required
- Bachelor’s degree in Accounting, Finance, or related field
- 3+ years of full-cycle accounting experience
- Healthcare accounting experience required
- Strong knowledge of GAAP and financial controls
- Proficiency with accounting systems and Excel
- Ability to manage accounting processes from start to finish
Preferred
- Hospice or home health experience
- CPA or accounting certification
- Experience with Medicare reimbursement and cost reporting
Benefits
- 401(k)
- Medical, Dental, and Vision Insurance
- Life Insurance
- Paid Time Off
- Paid Sick Time
Work Environment
- Primarily in-office role in Bedford, TX
- Hybrid flexibility may be considered after onboarding and performance are established
Why This Role
This is an opportunity to step into a trusted, high-impact accounting role within a stable healthcare organization where accuracy, integrity, and ownership are valued.
JOB ID: 169464
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Janene Stewart