Controller of Financial Operations and Reimbursement

Responsibilities

• General Ledger Oversight - Manage the chart of accounts, journal entries, reconciliations, and monthend/yearend close.
• Financial Reporting - Prepare monthly, quarterly, and annual financial statements, KPI dashboards, forecasting, and operational reports.
• Internal Controls - Maintain strong internal controls, accounting policies, and auditready documentation.
• Cash Management - Oversee cash flow, treasury functions, and financial integrity.
• AuditRegulatory Support - Lead audit preparation, tax filings, and regulatory financial reporting.
• PayrollAP/AR Oversight - Ensure accurate payroll processing, vendor payments, and receivables management.
• Billing and Revenue Cycle Leadership - Provide leadership oversight of billing, accounts receivable, collections, payment posting, claims management, denial management, and unbilled claims monitoring.
• Reimbursement Performance Monitoring - Monitor reimbursement performance across Medicare, Medicaid/MassHealth, managed care, and commercial payers.
• Revenue Cycle Metrics - Develop and track key revenue cycle metrics, including DSO, collection rates, denial trends, cash collections, outstanding unsigned orders, and unbilled visits.
• Operational and Financial Barriers - Identify barriers impacting reimbursement and cash flow.
• Cross-Functional Collaboration - Partner with operations, clinical, quality, utilization, and intake teams to improve reimbursement workflows and accountability.
• Billing Readiness and Compliance - Oversee financial and operational processes to ensure billing readiness and reimbursement compliance.
• Clinical Coordination - Partner with clinical leadership, quality assurance, and intake to ensure timely physician orders, completed certifications/recertifications, and required documentation for billing.
• Workflow Optimization - Partner with clinical leadership, quality assurance, and intake to ensure operational workflows support efficient reimbursement.
• Unsigned Orders and Documentation - Monitor aging of unsigned orders, incomplete documentation, and other reimbursement barriers.
• Reporting and Accountability - Develop reporting and accountability structures to improve billing timeliness and collections.
• Strategic Reimbursement Improvements - Serve as a financial and operational resource for reimbursement related workflow improvements.
• Annual Budget Leadership - Lead the annual budgeting process.
• Financial and Operational Models - Develop models related to census growth, staffing utilization, reimbursement trends, productivity, and margin improvement.
• Variance Analysis - Conduct variance analysis and provide actionable recommendations to leadership.
• Strategic Planning - Support strategic financial planning and operational decisionmaking.
• Profitability Analysis - Perform profitability analysis by region, discipline, payer, or program.
• Medicare/Medicaid Cost Reports - Prepare or oversee preparation of Medicare and Medicaid/MassHealth cost reports.
• Audit Submissions - Coordinate supporting schedules and documentation for audits and regulatory submissions.
• Regulatory Changes - Monitor reimbursement regulation changes and advise leadership on financial impacts.
• Optimization Opportunities - Identify opportunities for reimbursement optimization while maintaining compliance.
• Team Leadership - Supervise and mentor finance, billing, and reimbursement staff.
• Culture and Improvement - Foster a culture of accountability, collaboration, and continuous improvement.
• Executive Collaboration - Work closely with executive leadership, operations, clinical management, payroll, and quality assurance.
• Organizational Planning - Participate in organizational planning and operational improvement initiatives.
• Operational Reporting - Support the development of operational reporting structures and performance accountability systems.

Requirements

• Bachelor's degree in Accounting, Finance, or related field
• 5–10 years of progressive healthcare finance or accounting leadership experience
• Strong understanding of Medicare and Medicaid/MassHealth reimbursement
• Experience in home health, hospice, behavioral health, or postacute care
• Expertise in healthcare revenue cycle operations, billing, collections, and cost reporting
• Strong knowledge of GAAP and internal controls
• Knowledge of accrual-based accounting
• Experience with budgeting, forecasting, and financial modeling
• Advanced Excel and financial reporting proficiency
• Supervisory experience

Technologies

• Excel
• QuickBooks Desktop
• Sage Intacct
• EVV systems

Benefits

• Salary range: $125,000 – $165,000
• Bonus Potential
• Medical, dental, and vision insurance
• 401(k) retirement plan
• Hybrid work schedule

About Comfort Home Care

Comfort Home Care is a rapidly growing, communitybased home health and behavioral health organization serving families across the Merrimack Valley and beyond.

We provide skilled nursing, home health aide services, behavioral health support and physical therapy, that allow clients to remain safely and independently in their homes.

About the Job

The role of the Controller of Financial OperationsRegulatory is the organization’s senior accounting and reimbursement leader. This position blends traditional controller responsibilities with operational oversight of revenue cycle management, reimbursement workflows, billing readiness, accounts payable, cost reporting, and financial planning.