Revenue Controller

About the role: The Revenue Controller owns the integrity of revenue from patient admission through cash collection at Adaptive Innovations, a rapidly growing home health company. Sitting at the intersection of revenue cycle management (RCM) and technical accounting, you will run the revenue close, own reserves and order-to-cash controls, and partner with RCM, clinical, and operations leaders to drive cash and reduce leakage across our RCM process. What You'll OwnLead the monthly and quarterly revenue close under GAAP, including ASC 606 recognition for episodic (PDGM), per-visit, and managed care arrangements. Identify opportunities for improvement across our RCM and billing and collections process. Own gross-to-net policies and estimates: contractual allowances, implicit price concessions, bad debt, and unbilled revenue (RAPs/NOAs, held claims, open episodes).Reconcile net revenue and cash to the billing system and general ledger; investigate variances and unapplied cash. Partner with RCM across intake, authorization, coding, claims, denials, and collections to reduce leakage and DSO; approve write-offs and refunds per policy. Deliver revenue and AR reporting, KPIs, and variance analysis for the CFO, executive team, and Board; support budgeting and forecasting. Maintain internal controls over order-to-cash and serve as the primary revenue contact for external auditors, cost reports, and payer or CMS reviews. Automate accounting workflows across the EMR, billing platform, and ERP, and build a scalable finance infrastructure for growth, acquisitions, and future capital markets activity. Lead, develop, and mentor a growing team.

What We're Looking For: CPA5+ years of experience with 2+ years at a public accounting firm Healthcare experience, preferably hands-on exposure to the full RCM cycle in a provider setting with working knowledge of Medicare and commercial reimbursement