Senior Accountant, Payroll Specialist

Abridge was founded in 2018 with the mission of powering deeper understanding in healthcare. Our AI-powered platform was purpose-built for medical conversations, improving clinical documentation efficiencies while enabling clinicians to focus on what matters most—their patients.

Our enterprise-grade technology transforms patient-clinician conversations into structured clinical notes in real-time, with deep EMR integrations. Powered by Linked Evidence and our purpose-built, auditable AI, we are the only company that maps AI-generated summaries to ground truth, helping providers quickly trust and verify the output. As pioneers in generative AI for healthcare, we are setting the industry standards for the responsible deployment of AI across health systems.

We are a growing team of practicing MDs, AI scientists, PhDs, creatives, technologists, and engineers working together to empower people and make care make more sense. We have offices located in the SoHo neighborhood of New York, the Mission District in San Francisco, and Lawrenceville in Pittsburgh.

The Senior Accountant, Payroll Specialist will be responsible for all aspects of payroll — administered through Rippling — ensuring accurate and timely processing. This role will also manage Accounts Payable (A/P), collections, and recurring cash reconciliations. The ideal candidate brings strong multi-state payroll expertise, solid accounting knowledge, and a proactive approach to process improvement, helping to maintain efficient financial operations and ensuring compliance with relevant regulations.

You must be able to work in the office (hybrid schedule) in San Francisco.

What You’ll Do 

Oversee Payroll (Rippling)

• Administer full-cycle payroll for all employees, ensuring accuracy and compliance with federal, state, and local regulations.

• Validate payroll data, including new hires, terminations, bonuses, and benefit deductions.

• Maintain and update payroll records, generating reports for auditing and compliance.

Manage Accounts Payable

• Process vendor invoices and expense reports, ensuring timely payments and correct account coding.

• Monitor A/P aging and resolve discrepancies while maintaining strong vendor relationships.

• Implement and refine internal controls to streamline A/P processes.

Handle Collections & Accounts Receivable

• Oversee collection efforts, following up on outstanding invoices and improving cash flow strategies.

• Reconcile customer billing and payments, proactively resolving discrepancies.

• Collaborate with stakeholders to ensure prompt and accurate invoicing and collections.

Perform Recurring Cash Reconciliations

• Conduct regular and ad-hoc cash reconciliations to ensure accurate financial records.

• Investigate and resolve reconciling items promptly, coordinating with relevant departments as needed.

Support Month-End & Year-End Close

• Prepare payroll-related journal entries, accruals, and balance sheet reconciliations.

• Assist in reviewing financial statements, providing necessary documentation for internal and external audits.

Drive Process Improvements & Compliance

• Identify opportunities to enhance workflow efficiency in payroll, A/P, and cash management.

• Keep current with payroll laws and regulations ensuring best practices and compliance.

• Collaborate cross-functionally to develop robust policies, procedures, and internal controls.

What You’ll Bring

Education & Experience

• Bachelor’s degree in Accounting, Finance, or a related field.

• 3–5 years of combined payroll and accounting experience, preferably with Rippling (or similar payroll platforms).

Technical & Regulatory Knowledge

• Proficiency in accounting software (e.g., NetSuite, QuickBooks) and advanced Excel/Google Sheets.

• Strong understanding of GAAP and payroll tax regulations.

• Python and SQL.

Soft Skills & Competencies

• High level of attention to detail, with the ability to identify errors and resolve issues quickly.

• Strong organizational skills, capable of juggling multiple responsibilities and meeting deadlines.

• A proactive, problem-solving mindset, dedicated to continuous improvement.

Why work at Abridge?

At Abridge, we’re driven by our mission to bring understanding and follow-through to every medical conversation. Our culture is founded on doing things the “inverse” way in a legacy system—focusing on patients, instead of the system; focusing on outcomes, instead of billing; and focusing on the end-user experience, instead of a hospital administrator's mandate.

Abridgers are engineers, scientists, designers, and health policy experts from a diverse set of backgrounds—an experiment in alchemy that helps us transform an industry dominated by EHRs and enterprise into a consumer-driven experience, one recording at a time. We believe in strong ideas, loosely held, and place a high premium on a growth mindset. We push each other to grow and expose each other to the latest in our respective fields. Whether it’s holding a PhD-level deep dive into understanding fairness and underlying bias in machine learning models, debating the merits of a Scandinavian design philosophy in our UI/UX, or writing responses for Medicare rules to influence U.S. health policy, we prioritize sharing our findings across the team and helping each other be successful.

How we take care of Abridgers:

• Generous Time Off: 13 paid holidays, flexible PTO for salaried employees, and accrued time off for hourly employees.

• Comprehensive Health Plans: Medical, Dental, and Vision plans for all full-time employees. Abridge covers 100% of the premium for you and 75% for dependents. If you choose a HSA-eligible plan, Abridge also makes monthly contributions to your HSA. 

• Paid Parental Leave: 16 weeks paid parental leave for all full-time employees.

• 401k and Matching: Contribution matching to help invest in your future.

• Pre-tax Benefits: Access to Flexible Spending Accounts (FSA) and Commuter Benefits.

• Learning and Development Budget: Yearly contributions for coaching, courses, workshops, conferences, and more.

• Sabbatical Leave: 30 days of paid Sabbatical Leave after 5 years of employment.

• Compensation and Equity: Competitive compensation and equity grants for full time employees.

• ... and much more!

Diversity & Inclusion

Abridge is an equal opportunity employer. Diversity and inclusion is at the core of what we do. We actively welcome applicants from all backgrounds (including but not limited to race, gender, educational background, and sexual orientation).

Staying safe - Protect yourself from recruitment fraud

We are aware of individuals and entities fraudulently representing themselves as Abridge recruiters and/or hiring managers. Abridge will never ask for financial information or payment, or for personal information such as bank account number or social security number during the job application or interview process. Any emails from the Abridge recruiting team will come from an @abridge.com email address. You can learn more about how to protect yourself from these types of fraud by referring to this article. Please exercise caution and cease communications if something feels suspicious about your interactions.