Healthcare Finance & Accounting — Handled With Precision.
TMS manages your complete financial back-office so healthcare leadership can focus on strategy, not spreadsheets. Fully HIPAA-aware, healthcare-specialised, and audit-ready.
Is Your Financial Back-Office a Blind Spot?
Healthcare finance errors compound quietly — until they become audit findings, cash flow crises, or compliance violations.
Revenue Leakage
Unreconciled payments, missed contractual adjustments, and uncollected patient balances eroding net revenue month after month.
Delayed Reporting
Month-end close taking weeks, leaving leadership making decisions on stale data while the next month's challenges are already compounding.
Finance Staff Turnover
Losing a bookkeeper or controller mid-cycle is a governance crisis. Knowledge walks out the door with every departure.
Compliance Exposure
Manual processes, missing audit trails, and outdated controls increasing exposure to regulatory penalties and failed audits.
What TMS Finance & Accounting Covers
From daily transaction processing to month-end close and management reporting — your full financial operation managed by specialists.
Accounts Receivable Management
Patient balance follow-up, payer reconciliation, and denial recovery working in concert with your RCM team.
Accounts Payable Processing
Vendor invoice processing, approval workflow management, payment scheduling, and expense report processing.
Payroll Support
Payroll data preparation, timesheet reconciliation, deduction processing, and payroll tax report preparation.
General Ledger & Bookkeeping
Daily journal entries, bank reconciliations, month-end close support, and chart of accounts maintenance.
Management Reporting
Monthly P&L, cash flow statements, AR aging summaries, and KPI dashboards tailored to healthcare operations.
Audit Preparation
Audit-ready documentation packages, workpaper preparation, auditor communication support, and finding remediation.
Finance Roles We Staff
Every role is pre-vetted, HIPAA-trained, and ready to integrate into your workflows within two weeks.
Discuss Your Staffing NeedsFrom Contract Signed to Fully Operational in 4 Steps
Financial Audit
Review of current books, accounting systems, chart of accounts, and reporting cadence to identify gaps and priorities.
System Integration
TMS team onboarded into your accounting software (QuickBooks, Sage, NetSuite, Microsoft Dynamics, etc.) with role-appropriate access.
First Close Cycle
First month-end close completed jointly with your team to establish baseline accuracy and reconciliation standards.
Ongoing Delivery
Monthly close on schedule, management reports delivered within agreed timelines, and continuous process improvement.
Common Questions About Finance & Accounting
Our team is proficient in QuickBooks Online and Desktop, Sage 50/100/300, NetSuite, Microsoft Dynamics 365 Business Central, Xero, FreshBooks, and most healthcare-specific financial systems. We adapt to your existing platform rather than asking you to change.
Yes. TMS finance staff hold relevant accounting qualifications (CPA, CMA, bookkeeping certifications) and have specific experience in healthcare financial environments including understanding of payor contractual adjustments, net revenue reporting, and healthcare regulatory compliance requirements.
All financial data is handled under our HIPAA Business Associate Agreement. In addition, we apply financial-specific controls: role-based access, dual-authorisation for payments above your threshold, full audit logs, and encrypted data transmission. Your data never transits through unsecured systems.
TMS provides operational finance support, not CFO-level strategic leadership. Most clients retain their CFO or controller for strategic decisions and financial oversight, with TMS handling the transactional and reporting work below that level. We also offer fractional controller support for organisations that need that layer part-time.
Our standard minimum is 10 hours per week, which is typically sufficient for small practices needing basic bookkeeping and monthly close support. Larger organisations typically engage at 20–40 hours per week or on a full-time-equivalent basis.
Ready to Transform Your Finance & Accounting?
Join 200+ healthcare organisations that have cut costs, reduced errors, and freed their clinical teams to focus on what matters most — patient care.