Mural Health is a fast-growing clinical technology start-up that makes clinical trials easier for participants. Our mission is to eliminate any barriers participants or caregivers experience while being part of a clinical trial. Mural Health is looking to expand our team with a Senior Accountant.
Who are you? We're looking for a detail-oriented and forward-thinking Senior Accountant to own our core finance operations while actively building the systems and automation infrastructure that will scale with us. This role sits at the intersection of accounting fundamentals and operational innovation — you'll keep the books clean and the close tight while continuously finding smarter, more automated ways to work. If you're the type who finishes a manual process and immediately asks "how do we never do this by hand again," this role is for you.
Role Location: Remote - US
Reports To: CFO
You will:
Accounts Payable
- Own the end-to-end AP cycle with a bias toward automation-first design — actively reducing manual touchpoints in invoice intake, coding, approval routing, and payment disbursement
- Build and maintain smart aging and payment term workflows that proactively surface cash flow risks, with alerting and escalation handled programmatically where possible
- Enforce internal controls and approval hierarchies that are scalable by design — structured for audit-readiness as transaction volume grows
Invoicing & Accounts Receivable
- Own the invoicing process end-to-end, with a focus on automating generation and distribution at scale across contract types, billing schedules, and revenue streams
- Drive a collections process supported by automated follow-up sequences, intelligent prioritization of delinquent accounts, and exception-based escalation workflows
- Build and maintain AR reconciliation infrastructure capable of handling high payment volumes across multiple processors with minimal manual intervention
- Produce AR aging and collections reporting through automated pipelines, with human review focused on exceptions and strategic decisions
- Maintain daily cash visibility through automated payment receipt reporting across all channels
General Ledger & Financial Reporting
- Prepare and post journal entries for accruals, prepayments, depreciation, and recurring transactions — with a priority on automating recurring entries and reducing