This is a hands-on Manager role with an immediate responsibility to strengthen the company's US Healthcare Accounts Receivable performance while supporting broader Accounting Operations. The successful candidate will own the post-billing Accounts Receivable function, improve collections, reduce aged receivables and strengthen cash flow across all revenue streams. In addition, the successful candidate will work closely with company's external financial provider, supporting month-end accounting activities, financial reporting, reconciliations, review of financial information and ensuring the accuracy and integrity of financial data provided to management. This is not a Billing role. Billing and claims submission remain the responsibility of company's Billing Specialist. As company grows, this role has the opportunity to progressively assume broader Finance Operations responsibilities. Depending on future organizational requirements, the successful candidate may ultimately develop into a Finance Manager role or continue leading Accounts Receivable and Accounting Operations while reporting to a future Finance Manager. Experience 7–10 years of experience. Working Hours US Eastern Time business hours. Typically: 5:30 PM – 2:30 AM IST (Mandatory full-time remote role.) Qualifications & Experience Essential Demonstrated experience in US Healthcare Accounts Receivable and provider collections. Proven success collecting receivables from US clinics, hospitals, physician groups or healthcare provider organizations. Demonstrated experience improving collections performance, reducing aged receivables and improving DSO. Strong reconciliation and Accounts Receivable control experience. Demonstrated experience supporting accounting operations in a US accounting environment, including month-end close activities, financial reporting, P&L and Balance Sheet review, reconciliations and working with accounting systems. Experience working with external accountants or finance providers. Advanced Microsoft Excel skills including Pivot Tables, XLOOKUP/VLOOKUP, financial reporting and analysis. Working knowledge of US accounting standards (US GAAP) and experience supporting financial reporting within a US-based business. Experience with QuickBooks or similar accounting systems. Excellent written and spoken English with confidence communicating directly with US customers and internal stakeholders. Bachelor's degree in accounting, Finance or Commerce. Key Responsibilities 1. Accounts Receivable Ownership (Immediate Priority) Own end-to-end post-billing Accounts Receivable across all company's revenue streams. Drive collections performance to improve cash flow and reduce aged receivables. Develop practical collection strategies to accelerate payment recovery. Personally engage with US clinics, physician groups, hospitals and finance contacts to secure timely payment. Manage payment follow-up, AR ageing, dispute resolution and collection escalations. Drive measurable improvements in DSO and collection effectiveness. Identify high-risk accounts and recommend corrective actions. 2. Revenue Reconciliation & Financial Accuracy Perform end-to-end reconciliation across billing outputs, invoices, customer payments and bank receipts. Validate the accuracy of revenue and cash collections. Investigate reconciliation discrepancies and resolve issues with internal stakeholders. Maintain accurate Accounts Receivable records and reporting. 3. Billing Alignment (Non-Billing Role) Work closely with the Billing Specialist to ensure alignment between claims submitted, billed revenue and cash collected. Identify operational issues affecting payment collection. Improve communication and workflow between Billing and Accounts Receivable. 4. Accounting Operations & External Finance Coordination Working closely with company's external financial provider: Support month-end accounting activities in accordance with US accounting standards. Support preparation of monthly financial reports. Review and validate Accounts Receivable information provided for financial reporting. Review P&L and Balance Sheet reports relevant to Accounts Receivable activities. Investigate financial variances and reconciliation issues. Support revenue recognition and financial data validation. Support Accounts Payable activities when required. Recommend improvements to accounting controls, financial processes and reporting accuracy. Review financial information prepared under US GAAP. Work with the external financial provider to ensure accurate financial reporting and reconciliations. 5. KPI Ownership & Financial Reporting Develop and report key operational and financial metrics including: Days Sales Outstanding (DSO) Accounts Receivable Ageing Collection Effectiveness Cash Collections Revenue-to-Cash Reconciliation Outstanding Receivables Collection Forecasts Provide practical recommendations that improve cash flow, collections performance and financial discipline. 6. Continuous Improvement Improve Accounts Receivable processes and controls. Develop Standard Operating Procedures (SOPs). Improve reporting quality. Identify automation opportunities. Strengthen financial controls. Improve operational efficiency across Accounts Receivable and Accounting Operations. 7. Leadership Initially operate as a hands-on Manager while building scalable Accounts Receivable and Accounting Operations capability. As company grows: Support recruitment of future finance staff. Coach and mentor team members. Develop Finance Operations processes. Promote accountability, ownership and continuous improvement. Skills & Competencies Strong understanding of US Healthcare Accounts Receivable and provider collections. Strong accounting and financial operations knowledge. Excellent analytical and problem-solving capability. Strong commercial judgement. Excellent stakeholder management and negotiation skills. High attention to detail. Excellent organizational and planning skills. High ownership mindset. Ability to work independently in a fast-paced remote environment. Ability to maintain confidentiality and comply with HIPAA requirements. Ownership & Mindset The successful candidate will: Take ownership of outcomes. Demonstrate initiative and solve problems independently. Think commercially while maintaining financial discipline. Be comfortable working in a fast-moving startup environment. Build scalable processes rather than simply maintaining existing ones. Demonstrate the potential to assume broader Finance Operations responsibilities over time. Preferred Experience within a US healthcare or health technology environment. Startup or high-growth company experience. Previous team leadership or supervisory experience.