Staff Accountant

At 1upHealth, we’re on a mission to unlock health data and empower the future of healthcare through modern, cloud-native data infrastructure and interoperability. We build a platform that enables payers, providers, and digital health companies to ingest, normalize, and exchange clinical and claims data at scale; securely, reliably, and with strong compliance foundations. We are a remote-first U.S. company with a culture focused on collaboration, transparency, and meaningful impact.  

The Staff Accountant will support core accounting functions including accounts payable, accounts receivable, general ledger accounting, cash management, and month-end close. This role plays a key part in maintaining accurate financial records, supporting audits and tax preparation, and ensuring timely and reliable accounting processes. The ideal candidate thrives in a startup environment, enjoys improving processes, and is collaborative, proactive, and eager to learn.

• Prepare bank, credit card, and balance sheet reconciliations and maintain appropriate supporting documentation
• Support monthly, quarterly, and year-end close activities, including preparation of journal entries and supporting schedules
• Maintain close checklists and ensure timely completion of assigned close tasks
• Enter and maintain sales orders based on executed contracts and order forms
• Review customer contracts for billing terms, pricing, billing frequency, and revenue start dates
• Generate and distribute customer invoices accurately and on schedule
• Apply customer payments, reconcile accounts receivable balances, and monitor AR aging
• Assist with collections and respond to customer billing inquiries in coordination with internal teams
• Process vendor invoices, corporate card transactions, and employee expense reports in accordance with company policies
• Manage vendor setup and maintain organized accounts payable documentation
• Assist with payroll and benefits accounting support, including payroll-related journal entries and accruals
• Support audit, tax, and other external requests by compiling schedules, reports, and documentation
• Maintain organized accounting records and document repositories to support internal controls and audits
• Identify discrepancies, process gaps, or improvement opportunities and escalate issues as appropriate
• Assist with ad hoc finance and accounting projects related to growth, scaling, and process improvement

• Bachelor’s degree in Accounting, Finance, or a related field
• 2–4 years of accounting experience (startup, SaaS, or public accounting preferred)
• Experience with accounts payable, accounts receivable, and month-end close processes
• Experience with QuickBooks Online or a similar ERP system
• Proficiency in Excel and/or Google Sheets
• Ability to work effectively with deadlines and recurring processes

• Exposure to audits or tax preparation
• Experience with SaaS or subscription-based business models
• Exposure to ASC 606 revenue recognition