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Bookkeeping

Part-Time Bookkeeper and Admin Assistant (Xero + Gusto) for US Pediatric Therapy Practice

Confidential employer

Posted 10/13/2026Rate visible after sign-upSource: Curated from source
Xero
Payroll
Bookkeeping
About the Role

About us
Life Skills Therapy is a private-pay pediatric speech therapy practice in Houston, Texas. We've been running for 11 years and we're growing. We need a reliable, detail-oriented person to take over our back-office work and grow with us.

Pay: $150 USD per month to start, with a rate review at 90 days.
Hours: About 5 hours per week, flexible. Most of the work does not need to overlap with US hours.

What you'll do

Bookkeeping and payroll (main priority)

  • Reconcile bank and card transactions in Xero every month and keep the bank feeds connected
  • Prepare a monthly profit and loss report, plus a more detailed quarterly report
  • Enter therapist visits and run biweekly payroll in Gusto
  • Remind therapists to submit their weekly timesheets before payroll

Client paperwork

  • Prepare about 20 superbills a month from a template
  • Email families their program start and end dates

Admin

  • Keep a compliance tracker (licenses, continuing education deadlines, insurance policies) and send reminders before anything expires
  • Handle new-hire paperwork as we add therapists
  • Match receipts in Xero and track software subscriptions
  • Put together a short monthly numbers snapshot (revenue, new clients, payroll cost)
  • Help with our yearly liability insurance renewal

Must-haves

  • At least 2 years of hands-on Xero bank reconciliation for US clients
  • Experience with Gusto or another US payroll system
  • Strong written English
  • Willing to sign a HIPAA Business Associate Agreement and follow privacy rules, since the work involves client health information
  • Reliable internet and a private workspace

Nice to have

  • Experience with US healthcare or therapy practices
  • Experience preparing superbills

How to apply
Start your application with the words "Xero ready" so I know you read this post. Then tell me:
1. How many years you've done Xero reconciliation, and for what kinds of businesses
2. Which US payroll systems you've used
3. Your current weekly availability

Shortlisted applicants will complete a short paid test task ($15 USD), followed by a brief video interview.

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