Managing Accountant

The Financial Operations & Reporting Manager (Medical Billing Negotiation – MBN) is responsible for ensuring financial accuracy, visibility, and control over all settled cases pending medical bill negotiations.

This role owns the integrity of financial data within the MBN pipeline, ensuring all case-level financial movements are accurately recorded, reconciled, and reported. The position also drives reporting, aging analysis, and operational insights to accelerate negotiations, improve cash flow, and reduce backlog.

This is a hybrid role combining accounting control, financial operations, and reporting analytics, requiring strong grounding in accounting principles and the ability to translate financial data into actionable operational insights.

Key Responsibilities

1. Financial Data Integrity & Accounting Control

• Ensure accurate recording of settlement-related financial transactions


• Maintain correctness of accounts related to medical bills, settlements, and adjustments


• Perform reconciliation of financial records across systems and case data


• Validate financial accuracy before reporting and analysis

2. Case Aging & Financial Reporting

• Maintain and monitor a real-time aging report of all pending negotiation cases


• Track movement of cases across settlement and negotiation stages


• Provide weekly and monthly financial and operational reports to leadership


• Ensure reporting accuracy and consistency across all datasets

3. Pipeline & Inventory Financial Management

• Analyze case inventory awaiting negotiation from a financial perspective


• Segment cases based on value, complexity, and processing stage


• Identify bottlenecks and delays affecting financial closure


• Support prioritization strategies to accelerate recovery and resolution

4. Financial Analysis & Operational Insights

• Transform case and financial data into actionable insights


• Identify trends affecting backlog, cash flow, and settlement timelines


• Support leadership with data-driven recommendations


• Develop KPI tracking for negotiation performance

5. Process Improvement & Reporting Systems

• Design and improve financial tracking systems and reporting structures


• Develop dashboards for MBN pipeline visibility


• Improve efficiency of financial reporting workflows


• Support automation and standardization of reporting processes

6. Cross-Functional Coordination

• Serve as financial liaison between Finance, Legal, and Negotiation teams


• Ensure alignment between operational case status and financial records


• Resolve discrepancies between departments


• Support decision-making with accurate financial data

Strategic Objective

The Financial Operations & Reporting Manager ensures complete financial visibility over the MBN pipeline, enabling leadership to:

• Maintain accurate case aging and financial tracking


• Reduce backlog of pending negotiations


• Accelerate settlements and cash recovery


• Improve forecasting and operational efficiency

Ideal Candidate Profile

• Strong foundation in accounting principles and financial reporting


• Experience in reconciliation, financial control, and data accuracy


• Strong analytical skills with ability to interpret financial datasets


• Advanced proficiency in Excel and reporting tools


• Experience with case management or operational financial systems preferred


• Ability to translate accounting data into operational insights

Core Competencies

• Accounting accuracy & reconciliation


• Financial reporting & aging analysis


• Data interpretation & trend analysis


• Process improvement & workflow design


• Cross-functional communication


• Attention to detail and financial integrity