Company: Nao Medical

Location: Remote (India or Philippines)

Job Type: Full-Time

Salary Range: $10,000 - $15,000 per year

About the Company

Nao Medical is a modern healthcare provider serving communities across New York with primary care, urgent care, occupational health, and wellness services. We combine tech-forward solutions with compassionate, accessible care for our patients and streamlined corporate health services for our B2B partners.

Position Overview

Nao Medical is seeking an experienced, hands-on Senior Accountant to manage day-to-day accounting, complex reconciliations, monthly close, and financial reporting across multiple U.S. healthcare entities. Operating as the operational and analytical backbone of our multi-entity finance operations (encompassing approximately 12–13 clinic locations), this is not a data-entry-only role; it requires deep mastery of U.S. GAAP, QuickBooks Online (QBO), group consolidations, intercompany eliminations, and accrual-to-cash tax conversion workpapers.

Reporting directly to the CFO and U.S. finance leadership, you will independently maintain accurate books, investigate unusual or unsupported balances, ensure audit-ready workpapers, and bridge clinical revenue cycles with rigorous corporate accounting standards.

Why Join Nao Medical

- Direct Impact: Play a pivotal role in maintaining financial integrity, audit readiness, and cash-flow visibility for our rapidly growing network of multi-specialty healthcare clinics.

- Multi-Entity Ownership: Own end-to-end accounting processes, from day-to-day transaction coding to complex intercompany eliminations, ASC 842 lease schedules, and consolidated financial statements.

- Executive Collaboration: Work directly with our CFO, external U.S. tax accountants, and auditors, gaining high-visibility experience in healthcare finance and U.S. GAAP standards.

- Supportive Environment: Receive direct collaboration and mentorship within an innovative, tech-driven healthcare organization that values ownership and analytical problem-solving.

Job Details

Primary Responsibilities

- General Ledger & Daily Accounting Operations

- Maintain accrual-basis books in QuickBooks Online (QBO) in strict accordance with U.S. GAAP.

- Post and review daily journal entries, receipts, vendor invoices, accruals, prepayments, adjustments, and reclassifications with precise entity, GL, class, and location coding.

- Manage full-cycle Accounts Payable (AP), including vendor invoice validation, approvals, payment runs, AP aging reviews, vendor statement reconciliations, and maintenance of W-9 / Form 1099 support.

- Coordinate directly with U.S. suppliers, operational teams, and banking partners to resolve billing or payment discrepancies.

- Healthcare Revenue, AR & Payroll Accounting

- Review healthcare billing reports and reconcile patient/insurance receipts, deposits, refunds, Central Billing Office (CBO) records, and accounts receivable aging.





- Track receivables in transit and clearing accounts, ensuring unapplied collections are resolved and preventing duplicate revenue recognition.

- Reconcile payroll registers, bank debits, employer payroll taxes, and liabilities processed via UKG; account for 401(k), Section 125, and healthcare benefit deductions across locations and classes.

- Balance Sheet Reconciliations & Asset Schedules

- Complete monthly reconciliations for all bank and credit card accounts.

- Maintain documented supporting balance sheet schedules for AR/AP, prepaids, accrued expenses, fixed assets, depreciation, loans, and lease/right-of-use (ROU) assets under ASC 842.

- Location Profitability, Multi-Entity Consolidations & Tax Conversion

- Track class-wise and location-level profitability by accurately assigning direct expenses, payroll, and revenues; allocate CBO and corporate overhead using approved methodologies.

- Reconcile intercompany loans, advances, payables/receivables, and reciprocal transactions, maintaining clear reconciliation schedules.

- Prepare consolidated/combined P&L;, balance sheet, and cash-flow statements, executing and documenting required intercompany elimination entries while preserving standalone entity records.

- Maintain robust rolling accrual-to-cash conversion workpapers for entities utilizing cash-basis tax reporting (Forms 1120-S / 1065), reconciling timing differences, deferred items, and prior-year tax support in coordination with external U.S. tax accountants.

- Monthly Close, Audit Support & Banking Controls

- Own the monthly close schedule (first cut by the 10th, finalized financials by the 15th), executing closing checklists, variance analyses, and GL-to-schedule ties.

- Prepare audit-ready trial balances, GL extracts, and documentation; interface directly with auditors, answer technical accounting queries, and implement approved audit adjustments through completion.

- Support monthly borrowing certificates, quarterly lender reporting, and debt covenant/financial-ratio calculations based on banking agreements.

- Adhere strictly to internal financial controls, HIPAA compliance guidelines, and data security standards when handling corporate and healthcare records.

Job Requirements

- Education & Qualifications:

- Bachelor’s degree in Accounting, Finance, or a related field required. Professional certification (CA, CA Inter, CPA, ACCA, CMA, or equivalent) preferred.

- 3–6+ years of hands-on U.S. accounting experience, with demonstrated expertise maintaining accrual-basis books under U.S. GAAP.





- Proven experience managing full-cycle monthly closes, balance sheet reconciliations, multi-entity accounting, and intercompany eliminations.

- Advanced proficiency in QuickBooks Online (QBO) and Microsoft Excel (advanced formula modeling, PivotTables, SUMIFS, XLOOKUP).

- Direct experience preparing audit support workpapers, fixed asset/depreciation schedules, and accrual-to-cash tax conversion workpapers.

- Demonstrated familiarity with U.S. payroll journal entries, employer tax liabilities, and benefits accounting.

- Excellent written and verbal English communication skills with the confidence to collaborate directly with U.S. finance leadership, auditors, and external tax advisors.

- Preferred: Prior experience in multi-location U.S. healthcare or clinical services, CBO medical revenue reconciliations, and familiarity with UKG, Bill.com, or eClinicalWorks.

- Application Requirement:

- Please submit your résumé detailing the U.S. companies you have supported, the monthly-close workflows you personally owned, and your specific experience with payroll reconciliations and multi-entity consolidations (do not include confidential client, patient, or employee data).

- Schedule Requirements:

- Ability to work Eastern Time (ET) hours, 8:00 AM to 5:00 PM, Monday through Friday, including applicable company holidays.

- Technical Requirements:

- Reliable wired internet connection (100 Mbps minimum).

- Computer/laptop with Intel Core i5 or Ryzen 5 processor, 8GB RAM minimum, and 128GB free storage.

- Dual-screen setup preferred for enhanced productivity.

- Operating system: Windows 10 or macOS (latest version).

- Clear webcam (1080p or higher resolution) and microphone for communication.

- Secure, private workspace compliant with healthcare remote-work security requirements, prohibiting local downloads, printing, or screen capture of patient/client financial data.

- Backup systems for electricity and internet outages.

Benefits:

- Fully Remote Work: Work from the comfort of your home in a dedicated, secure workplace.

- Comprehensive Onboarding: Structured 1-on-1 training and mentorship in healthcare financial practices and operational systems.

- Professional Development: Direct exposure to multi-entity U.S. GAAP accounting, executive reporting, and career growth opportunities.

At Nao Medical, we're revolutionizing healthcare by blending cutting-edge technology with heartfelt, personalized care. Over the past 13 years, we've proudly served more than a million New Yorkers at our various locations.

Our mission is simple: provide accessible, quality care tailored to each patient's needs through our multi-specialty practice. We're breaking down barriers, championing health equity, and delivering value-based care to create healthier communities.

Experience the Nao Medical difference. Join us in transforming healthcare, Nao!

📌 Senior Accountant (India)
🏢 Nao Medical
📍 India