Staff Accountant
Xrhealth • Needham, Massachusetts • Full Time
Posted on Tue, Nov 10, 2026
Why this role exists
This role is responsible for all day-to-day accounting activity for XR America Inc. Alongside the core accounting for the entity, this role carries the purchase order, revenue, and product shipment activity for XR America.
What you'll own
• Cash inflows and outflows. Monitor daily bank activity, apply receipts, prepare payment runs, and keep cash coded correctly as it moves.
• Ramp. Process all vendor bills, code them to the right accounts and departments, route approvals, manage the payables aging, and keep card transactions supported with receipts.
• Bank accounts. Reconcile all accounts for the entity monthly, clear exceptions quickly, respond to fraud and positive pay alerts, and maintain access requests.
• Rippling. Record and reconcile payroll expense, employer taxes, benefits, and related accruals to the general ledger. HR processes payroll; this role owns how it lands in the books.
• State filings. Maintain the entity's registrations, annual reports, and state-level accounts, and keep a filing calendar that flags deadlines before they arrive.
• Tax reporting. Prepare workpapers, oversee fixed asset and depreciation schedules, and 1099s, and assemble the tax package for our outside accounting firm, which files the returns.
• Vendor management. Onboard vendors with W-9s and verified banking details, track contracts and certificates of insurance, reconcile statements, and handle vendor inquiries.
• Headcount. Track hires and terminations and publish monthly headcount and payroll cost reporting by department.
• Travel and employee expenses. Review reimbursements and corporate card spend against policy and follow up on exceptions directly with employees.
• Month-end close. Prepare journal entries, accruals, prepaids, and balance sheet reconciliations, and write variance commentary for the Controller.
• Niko EHR. Reconcile clinical and billing activity in Niko to recorded revenue, accounts receivable, and cash received, and investigate variances between delivery, billing, and collection.
• HubSpot. Own the accounting view of supplier purchase orders and revenue held in HubSpot. Keep purchase order records accurate and matched to vendor bills, tie booked revenue to the general ledger, maintain deferred revenue, and reconcile HubSpot to the books monthly.
• Product shipments. Account for inventory/fixed assets and cost of goods sold, including in-transit units, freight, and duties. Perform the three-way match of purchase order, shipment, and invoice, resolve discrepancies with suppliers and operations, and support periodic inventory counts.
What you'll need
• Bachelor's degree in accounting or a related field.
• Three to five years of full-cycle accounting experience including accounts payable and month-end close.
• Experience working in a multi-entity environment and keeping entities cleanly separated.
• Hands-on experience with purchase orders, inventory, or cost of goods sold in a product business.
• Comfort in Ramp, Rippling, and a CRM such as HubSpot, or a demonstrated ability to pick up finance systems quickly.
• Strong Excel, strong attention to detail, and the discipline to achieve close calendar expectations.
• Healthcare or clinical services billing exposure is a plus.
More live staff_accountant roles
- Staff Accountant at Equinox — London, England, GB
- Project Accountant at AECOM — Bucharest, RO
- Financial Accountant, Corporate Accounting at PlayStation — United Kingdom, London
- Accountant - Client Accounting at Ocorian — Moka, Moka District, MU
- Construction Senior Project Accountant - Hotel Construction at Turner & Townsend — Las Vegas, Nevada, US
- Project Controller at BEOWULF ELECTRICITY & DATA — West Palm Beach, FL
- Junior Accountant at Pala Interactive — Toronto, Ontario
- Accountant at Customs and Border Protection — Indianapolis, Indiana, United States
- Staff Accountant at Atlanta Beltline — Atlanta, Georgia, United States
- Accountant at One City Schools — Madison, Wisconsin, United States
- Accountant at United States Army Installation Management Command — Redstone Arsenal, AL, US
- Staff Accountant at Neighborhood Health Center of WNY — Buffalo, New York, United States
- Junior Staff Accountant at Ascera — St. Petersburg, Florida, United States
- Accountant - Dallas at Equus — Grand Prairie, TX, US
- Project Accountant at Akrf — New York, NY
- Accountant at Pets Best Insurance Services (Remote)
- Staff Accountant at Ferraro Foods of New Jersey — Piscataway, New Jersey, United States
- Accountant at Peak Retirement Planning — Columbus, Ohio, United States
- Junior Accountant at Gen7 Stations — Kelowna, BC, Canada
- Staff Accountant at Brattleboro Retreat — Brattleboro, Vermont, United States
- Staff Accountant at Solaris Health Holdings — Ft Lauderdale, Florida, United States
- Accountant at Sisters of the Humility of Mary — Pulaski, Pennsylvania, United States
- Staff Accountant at Cyclic Materials — Toronto, ON, Canada
- Accountant at AMVC Employee Services — Audubon, Iowa, United States
- Staff Accountant at AstraNova Solar — Richardson, Texas, United States
- Project Accountant at Bourn Companies — Tucson, Arizona, United States
- Senior Project Accountant at Consertus-US — Miami, Florida, United States
- Staff Accountant at Delux Public Charter — Dallas, Texas, United States
- Accounts Payable Staff Accountant at Southall — Franklin, Tennessee, United States
- Accountant, U.S. Operations at IntelliPro Group — San Jose, California, United States
- Project Accountant at Biohabitats (Remote)
- Accountant at Atomic Industries — Detroit, Michigan, United States
- Staff Accountant at Lovejoy ISD — Texas, United States
- Staff Accountant at New Horizons in Autism — Morganville, New Jersey, United States
- Staff Accountant at Southern First Bank — Greenville, South Carolina, United States
- Accountant at DON Services — New Castle, Pennsylvania, United States
- Staff Accountant at LEAD Public Schools — Nashville, Tennessee, United States
- Staff Accountant at A Team That Does The Same — Vernon, California, United States
- Junior Accountant at Brand Addition — St Louis, Missouri, United States
- Senior Accounting Technician II at Saint James Parish Schools — Not Specified,Louisiana, United States
- Staff Accountant at GardenCore — Peachtree Corners, Georgia, United States
- Staff Accountant at Image Solutions — Long Beach, California, United States
- Junior Accountant at Goodwin — Columbus, OH, US
- Staff Accountant at DFW Area Application Consortium — Not Specified,
- Project Controller at VolkerWessels Bouw & Vastgoedontwikkeling — Zevenaar, GE, Netherlands
- Accountant at FAMU — United States
- Junior Accountant at Wild Leaf Holdings U.S. (Remote)
- Staff Accountant II at Matrix Medical Management — Bellaire, Texas, United States
- Staff Accountant, Operations at Momentum Financial Services Group — Hyderabad (Hybrid)
- Accountant-Seguin, Tx at Tyson Sales and Distribution — Seguin Plant - Seguin, Texas
- Accounting Technician Ii - Ncciw 65013593 at Health & Human Services — Wake County, NC
- Accounting Technician Ii- Pgba at BlueCross BlueShield of South Carolina — Columbia, South Carolina
- Accountant-Seguin, Tx at Tyson Foods — Seguin Plant - Seguin, Texas
- Accountant-Seguin, Tx at Tyson — Seguin Plant - Seguin, Texas
- Accountant I (Hybrid) - Emergency Medicine at Washington University in St Louis — Washington University Medical Campus
- Accountant, Accounts Receivable at Sealy — Trinity, NC
- Accountant at Heidelberg Materials — Houston, TX
- Corporate Financial Reporting Accountant I at Nelnet Servicing — Lincoln, NE
- Corporate Staff Accountant at Encompass Health — Birmingham, AL, United States
- Senior Financial Accountant at CDW — Cape Town - South Africa
What the data says about this job
- Advertised pay for Staff Accountant in Greater Boston: a median of $72,500 across 224 priced postings. Explore the market
Measured from employers' own postings and public filings. How we measure