Bookkeeper at Elemy

Remote | Full-time

Bookkeeper – Remote

at Elemy Autism Care


Who We Are at Elemy:

Elemy, formerly Sprout Therapy, is building the first managed marketplace for in-home chronic medical care, starting with pediatric autism. Over 1.5M children in the US are affected by autism, and nearly 30% of families are dissatisfied with the care they receive. Elemy is working tirelessly to change this by providing in-home care and leveraging cutting edge AI-powered technology to deliver a better experience to families, providers, and healthcare payers.

Today’s US Child Care industry for autism, ADHD, and other developmental delays is a $38B market that is heavily fragmented and skewed towards in-clinic care. Elemy is looking to change the developmental delay care industry for the better by putting families and children at the center of what Elemy does. Elemy is bringing ABA care to family’s homes, and providing more resources and tools for therapists to give the best care possible.

Since launching in April 2020, Elemy has become one of the fastest growing healthcare companies in the United States, scaling from 4 to over 1000 team members in under 18 months, and on track to grow revenue by over 600% this year. The company is backed by leading investors in healthcare and technology, including General Catalyst, Founders Fund, SignalFire,, 8VC, Felicis Ventures, and Bling Capital.

About the Role

The primary objectives of this role are preparing and reviewing work papers and financial statements, financial reporting, and preparing payroll. Additionally, this person should be passionate about working within a fast-paced, growing, and innovative startup.

What You’ll Do

  • Assist in monthly financial close process and prepare financial statements in accordance with US GAAP
  • Support month-over-month, quarterly and annual revenue analysis
  • Prepare month-end revenue support and investigate unusual occurrences
  • Build processes to reconcile financial statements with practice management system
  • Provide cleaned hourly payroll extract to audit team on a bi-weekly basis
  • Oversee and examine employee expense reports and report
  • Work closely with leaders of Finance, Revenue Cycle Management (RCM) and Audit team to ensure all possible claims are processed by month-end
  • Other duties as assigned

What You’ll Need

  • Remote work from home, requires reliable internet connection and acceptable work from home setting.
  • 2+ years of experience with 1 year of experience in leading financial close process in high growth company (preferably healthcare or technology)
  • Bachelor’s Degree in Accounting/Finance or equivalent combined education and work related experience
  • Experience working in NetSuite preferred
  • US GAAP knowledge preferable
  • Advanced Excel Skills required
  • Strong analytical and problem solving skills
  • Work under pressure to deadlines
  • High degree of accuracy with a good eye for detail
  • Good communication skills
  • Likes working as part of a team
  • Self-motivated and proactive

At Elemy, we are a globally distributed team with many of our team members located throughout the world, including in the following cities: San Francisco, New York, Los Angeles, Miami, Toronto, Montreal, and Kyiv. While everyone currently works remotely, we envision a future that balances face to face collaboration with a remote friendly environment.

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required for the position.

Elemy is an equal opportunity employer that is committed to providing all employees with a work environment free of discrimination and harassment. We celebrate diversity and welcome applicants from every background and life experience.


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