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Healthcare outsourced Accounting & Bookkeeping Services in Australia
Medicare remittances, multi-award rostering and mixed GST treatment trip up generalist bookkeepers fast. Aone runs the finance back-office for medical centres, clinics and allied health practices, built around how healthcare actually bills and rosters.
+34%
Cash position, 6 mo
100%
BAS lodged on time
Why healthcare businesses need specialist accounting
Billing, payroll and reporting in a healthcare practice follow rules a general small-business bookkeeper rarely sees twice. A specialist sees them every week.
Medicare, DVA and private billing reconciliation
Bulk-billed, DVA and privately billed consultations land in the bank account on different schedules under different reference codes. A bank feed shows a deposit total; matching it back to individual consultations means reading the Medicare or DVA remittance advice line by line.
Award-correct payroll
Nursing and midwifery staff generally sit under the Nurses Award 2020 (MA000034); allied health professionals, dental assistants and clinical support staff typically sit under the Health Professionals and Support Services Award 2020 (MA000027). Both carry casual loadings, shift and weekend penalties and allowances that a generic payroll template won't calculate — get a classification wrong and the exposure is back pay, not just a correction.
Multi-award, multi-site rosters
A single practice can run nursing, allied health and reception staff under three different awards in the same pay run, across sites with different rosters. Timesheets need to be checked against the actual roster before processing, not reconciled after the fact.
GST on mixed supplies
GST-free treatment isn't automatic. A medical service is GST-free where a Medicare benefit is payable; other services — physiotherapy, dental, optometry and similar — are GST-free only when delivered by a recognised professional for necessary treatment. Cosmetic procedures with no Medicare benefit, retail items and room hire are taxable.
BAS lodgement discipline
The Quarterly BAS is due 28 days after the quarter ends, with an additional concession when lodged through a registered BAS agent. Late or miscoded lodgements trigger failure-to-lodge penalties and interest that a standing weekly process avoids entirely.
Cash flow timing
Medicare settlement lags, insurer payments and practitioner drawings can distort the cash position within weeks if they aren't tracked against committed outgoings on a regular cycle, not just at BAS time.
Overlapping compliance regimes
ATO, Fair Work and state-based health regulations intersect constantly in a healthcare business — award updates, Medicare policy changes and GST rulings all move independently, and a specialist tracks all three, not just one.
Reporting by practitioner and site
Principals need visibility by practitioner, site and service line. A single combined profit and loss statement hides exactly where the margin is actually made or lost.
Scaling without lag
Adding a site, a practitioner or a service line changes the cost base within a quarter. Reporting and payroll setup need to move with the practice, not catch up a quarter later.
Services we provide
A full finance back-office, delivered as one accountable team or as individual services layered onto your existing setup.
Bookkeeping
Daily transaction coding, bank reconciliation and ledgers are checked for accuracy every cycle, not just before BAS.
Payroll
Award-mapped, shift-based pay runs for single- and multi-site practices, processed against a verified roster each cycle.
BAS Preparation
Quarterly BAS prepared and lodged by registered BAS agents, with GST on mixed medical/non-medical supplies coded correctly at source.
Tax Returns
Practice and practitioner returns are prepared alongside your accountant, backed by reconciled monthly records rather than a year-end scramble.
Accounts Payable
Supplier invoices captured, approved and paid on schedule, with duplicate- and missed-invoice checks built into the workflow.
Accounts Receivable
Practitioner billing, insurer claims, and patient accounts are followed up on so revenue is actually collected, not quietly written off.
Financial Reporting
Monthly reporting broken down by practitioner, site and service line — built for operating decisions, not just year-end filing.
Virtual CFO
Strategic input on fee-setting, staffing cost and site expansion for practices outgrowing single-site financial management.
Year-End Accounts
End-of-year finalisation was completed early against records that are already reconciled monthly.
Cloud Accounting
Set-up, migration and clean-up in Xero or MYOB, connected to existing practice management and rostering software.
Management Reporting
KPI dashboards tracking wage-to-revenue ratio, practitioner utilisation and margin by service line.
Industries we support
Billing rules, award coverage and reporting needs differ by discipline. Templates are built per discipline, not applied generically across every client.
Talk to a specialistWork happens inside the platforms, a practice already runs, connected, so data moves once.
We work inside the platforms your practice already runs on, and connect them so data moves once, correctly.
Why Choose Aone Outsourcing
Dedicated Healthcare Team
Bookkeepers work specifically with medical and allied health clients, not a general small-business caseload.
Current Compliance Knowledge
Tracking ATO rulings, Fair Work award variations and state health-sector regulation as they land — including live cases that could change award rates.
Data Security
Encrypted, permission-scoped access to client systems, with no duplicate copies of sensitive files held outside them.
Experienced Professionals
Qualified bookkeepers and BAS agents, not junior data-entry staff.
Registered Professionals
Qualified bookkeepers and registered BAS agents handle the work directly.
Scalable Team
Additional sites or services are added without the practice rehiring or retraining internally.
Predictable Turnaround
Reporting and pay-run deadlines are fixed and met on a set weekly cadence.
Cloud-Based Collaboration
Shared, real-time access to ledgers and reports — no spreadsheets circulated by email.
White-Label Option
Accounting firms can offer bookkeeping to their healthcare clients under their own brand, while Aone delivers behind the scenes.
Our process
Onboarding is sequential and deliberate, built to hand your books over without a single day of disruption.
Dicovery
Current systems, award coverage and reporting gaps are reviewed before a scope is proposed.
Secure Access Set-Up
Access is granted through encrypted channels, with permissions scoped to exactly what's needed.
Dedicated Team Assigned
A named bookkeeper and reviewer are assigned to the practice for every cycle.
Ongoing Workflow
Transactions, timesheets and invoices are processed on a set daily and weekly cadence.
Quality Review
A second reviewer checks every pay run and lodgement before it goes out.
Reporting
Monthly reporting is delivered with a call to walk through anything that needs a decision.
What does it change for your practice
Riverside Medical Group
Riverside came to Aone after a payroll audit flagged incorrect award classifications for nursing staff, and BAS lodgements had slipped twice in the prior year while the practice manager tried to cover bookkeeping alongside patient operations.
We migrated their ledgers to Xero, connected Deputy for rostering, assigned a dedicated payroll specialist across all three sites, and rebuilt reporting around practitioner-level margin rather than a single combined P&L.
Client testimonials
Got questions? We've got answers.
Ready to hand your books to a team that already understands healthcare billing?
Book a 20-minute practice review — we'll tell you exactly where your current setup is exposed before you commit to anything.