Careers / Open role
AR / AP Accounting Specialist — Austin, TX
- Pay
- $20.00–$30.00 an hour
- Location
- Austin, TX
- Type
- Full time, on site
- Job ID
- TX1013-19
Background image is an illustration, not a photograph of Briarwood staff, clients or premises.
Both sides of the ledger for a group of behavioral health and recovery companies — patient and insurance receivables on one side, vendor invoices and card reconciliations on the other. The interesting part is the middle: making the billing system and QuickBooks agree, and finding out why when they do not.
The schedule
- Full time, Monday to Friday, business hours.
- Month-end and year-end close are the busy weeks — the rest of the month is steadier.
- Based in Austin, working alongside the internal revenue cycle team.
What you will do
- Maintain and reconcile patient and insurance receivable balances.
- Post and reconcile cash receipts and deposits, and investigate unapplied cash, credits and adjustments.
- Review accounts receivable aging and assist with collection efforts.
- Reconcile receivable activity between the billing system and QuickBooks Online.
- Work with the internal revenue cycle team on billing, collections, adjustments, refunds and write-offs.
- Review, code and process vendor invoices, and confirm approval and support before payment.
- Process vendor payments by ACH, check and wire, and keep vendor records and W-9s in order.
- Manage employee expense reports and reimbursements through RAMP, and reconcile company cards.
- Prepare bank, credit card, AR and AP reconciliations, and support month-end and year-end close.
- Prepare weekly and monthly receivable and collection summaries for management.
- Support external audits and financial reviews with documentation.
What you need
Required
- Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead.
- Three or more years in accounts receivable, accounts payable, bookkeeping or accounting.
- Experience working in a healthcare environment.
- Proficiency in QuickBooks Online.
- Experience using RAMP expense management software.
- Experience supporting healthcare billing and receivable reconciliation.
- Strong Microsoft Excel skills.
Preferred, not required
- Experience in behavioral health, substance use treatment, detox, residential treatment or healthcare services.
- Familiarity with healthcare reimbursement, insurance receivables and patient accounting.
- Understanding of HIPAA and healthcare confidentiality requirements.
- Bachelor's degree in accounting, finance or business administration.
If you hold the credential and the rest is thin, apply anyway. The preferred list is what we would like, not a filter we run.
Where you would work
Austin — our Austin detox at 11711 N Lamar Blvd, Austin, TX 78753. A quiet clinical office setting on our own campus, with documentation tools, office space and a team on the floor at the weekend as well as midweek. On site, every shift.
Before you click apply
The application runs in Proliant and asks for everything in one sitting: resume first, then your details, then two previous employers with dates, supervisor names and supervisor phone numbers, then two references with contact details, then a background-check consent. It does not save partway through.
Twenty minutes at a desk with those to hand. If it defeats you, call (512) 213-4304 and ask for HR rather than giving up.
Questions about this role
What does the AR / AP Accounting Specialist role pay?
$20 to $30 an hour, depending on experience. The range is published on the posting rather than discussed later, and it is the range the role is budgeted at.
What software do I need to know?
QuickBooks Online and RAMP are both required rather than nice to have — QuickBooks is where the reconciliations land and RAMP is where expenses and company cards live. Strong Excel matters too. You would also work alongside a billing system, though the revenue cycle team owns that one.
Do I need healthcare experience, or is general accounting enough?
Healthcare experience is required. Patient and insurance receivables behave differently from ordinary trade receivables — adjustments, write-offs, refunds and unapplied cash all have their own logic, and the reconciliation work assumes you have met them before. Behavioral health specifically is preferred, not required.
Is a degree required?
An associate's degree in accounting, finance, business administration or a related field, and equivalent experience is considered instead. Three or more years in AR, AP or bookkeeping is the harder requirement. A bachelor's is preferred, not required.
Is this receivables or payables? The title says both.
Both, genuinely. Receivables and the revenue cycle side are roughly half of it — reconciling patient and insurance balances, chasing aging, making the billing system and QuickBooks agree. Payables is the other half: vendor invoices, ACH and check runs, card reconciliations and expense reports in RAMP. Month-end close pulls both together.
How long does the application take?
About twenty minutes at a desk. It asks for your resume, your details, two previous employers with supervisor names and phone numbers, two references, and consent for a background check. It does not save partway through, so start it when you have the time.
Equal opportunity
We welcome applicants from every background, including people with lived experience of recovery. Hiring decisions are made on credential, experience and fit for the role. Briarwood Detox Center is operated by Nova Recovery LLC, which is the employer named on the application.
Rather just send us your details?
The full application above is the one that gets you into the hiring process, and it is worth the twenty minutes. But if you are reading this between clients and do not have two references to hand, leave your details and a person from HR will come back to you.