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Bookkeeping For Medical Professionals

Bookkeeping · Melbourne

A home for all your medical practice bookkeeping needs.

A home for all your medical practice bookkeeping needs.

Running a medical practice means complex compliance obligations, Medicare and insurer payment timing, and payroll across multiple staff types. We handle the bookkeeping behind your practice so you can stay focused on patient care.

Your books this week

Up to date

Bank feeds reconciled

All accounts

Bills coded with GST

Done

Pay run and STP

Lodged

Overdue invoices chased

Followed up

Checked by Marissa’s team

In short

In short:Elephant Advisory handles bookkeeping for medical practices, including Medicare and insurer payment timing, payroll across multiple staff types and compliance obligations, so you can focus on patients.

Led by Marissa Moro, Director & Head of Bookkeeping · 8+ years in bookkeeping.

Our approach

Medical bookkeeping requires someone who understands healthcare.

Medical bookkeeping requires someone who understands healthcare.

Healthcare businesses deal with GST-free income, multiple payment sources, and strict compliance obligations that most bookkeepers are not equipped to handle.

Healthcare businesses deal with GST-free income, multiple payment sources, and strict compliance obligations that most bookkeepers are not equipped to handle.

Precision

Healthcare compliance leaves no room for error. We keep your records accurate, your reconciliations current, and your reporting correct at all times.

Healthcare compliance leaves no room for error. We keep your records accurate, your reconciliations current, and your reporting correct at all times.

Understanding

We understand how medical practices earn, from Medicare and private health insurers to patient payments, and know how to reconcile and report each income stream correctly.

We understand how medical practices earn, from Medicare and private health insurers to patient payments, and know how to reconcile and report each income stream correctly.

Loyalty to Your Time

Your focus belongs on your patients. We take the bookkeeping completely off your plate so your practice finances are never a distraction from clinical work.

Your focus belongs on your patients. We take the bookkeeping completely off your plate so your practice finances are never a distraction from clinical work.

Seamless Compliance

From BAS lodgements and payroll to GST-free income reporting, we make sure every obligation is met accurately and on time without you having to think about it.

From BAS lodgements and payroll to GST-free income reporting, we make sure every obligation is met accurately and on time without you having to think about it.

End-to-End Support

From initial Xero setup through to monthly reconciliations and performance reporting, we handle every aspect of your practice bookkeeping so nothing gets missed.

From initial Xero setup through to monthly reconciliations and performance reporting, we handle every aspect of your practice bookkeeping so nothing gets missed.

What we handle

Bookkeeping services built for medical and healthcare practices.

Bookkeeping services built for medical and healthcare practices.

The bookkeeping services healthcare businesses rely on to stay accurate, stay compliant, and keep their focus on patients.

The bookkeeping services healthcare businesses rely on to stay accurate, stay compliant, and keep their focus on patients.

Bank Reconciliation

We match your practice records with your bank statements and allocate every transaction correctly so your books always reflect your actual financial position.

We match your practice records with your bank statements and allocate every transaction correctly so your books always reflect your actual financial position.

Payroll and Superannuation

We handle your weekly, fortnightly, or monthly payroll and super compliance so your team is always paid correctly and on time.

We handle your weekly, fortnightly, or monthly payroll and super compliance so your team is always paid correctly and on time.

Xero Setup and Migration

New to Xero or switching over? We get you set up and connected to your practice apps so everything flows through automatically from day one.

New to Xero or switching over? We get you set up and connected to your practice apps so everything flows through automatically from day one.

Payables and Receivables

We organise your supplier invoices and patient payments so everything gets paid on time, your cash flow stays healthy, and outstanding amounts never get lost or overlooked.

We organise your supplier invoices and patient payments so everything gets paid on time, your cash flow stays healthy, and outstanding amounts never get lost or overlooked.

Cash Flow Management

We forecast your cash flow so you always have enough to cover wages, supplier costs, and practice overheads, and never get caught short between Medicare and insurer payments.

We forecast your cash flow so you always have enough to cover wages, supplier costs, and practice overheads, and never get caught short between Medicare and insurer payments.

BAS and Reporting

We prepare and lodge your BAS accurately and on time, accounting correctly for GST-free health services, and provide clear performance reports for your practice.

We prepare and lodge your BAS accurately and on time, accounting correctly for GST-free health services, and provide clear performance reports for your practice.

What we do, and when

Your bookkeeping rhythm

Your bookkeeping rhythm

The same checklist every period, so nothing slips between BAS quarters.

The same checklist every period, so nothing slips between BAS quarters.

Weekly

  • Reconcile bank and card feeds

  • Enter and code bills

  • Send and chase invoices

  • Process pay runs and STP

  • Reconcile bank and card feeds

  • Enter and code bills

  • Send and chase invoices

  • Process pay runs and STP

Monthly

  • Profit and loss and cash summary

  • Aged receivables and payables review

  • Super paid with wages (Payday Super)

  • Tracking categories by service or location

  • Profit and loss and cash summary

  • Aged receivables and payables review

  • Super paid with wages (Payday Super)

  • Tracking categories by service or location

Quarterly

  • BAS prepared and lodged on time

  • GST and PAYG reviewed for errors

  • Handover to your accountant

  • BAS prepared and lodged on time

  • GST and PAYG reviewed for errors

  • Handover to your accountant

Packages

Pick the level that fits

Pick the level that fits

Fixed monthly fees, scoped to your transaction volume and pay runs.

Fixed monthly fees, scoped to your transaction volume and pay runs.

Essentials

Fixed monthly fee

Monthly reconciliation and quarterly BAS for sole traders and small teams.

Monthly reconciliation and quarterly BAS for sole traders and small teams.

Get a quote

Most popular

Growth

Fixed monthly fee

Weekly bookkeeping, payroll, debtor follow-up and a monthly report.

Weekly bookkeeping, payroll, debtor follow-up and a monthly report.

Get a quote

Complete

Fixed monthly fee

Everything in Growth plus tracking by location or service and a CFO-style review.

Everything in Growth plus tracking by location or service and a CFO-style review.

Get a quote

Why us

If these problems sound familiar, you're not alone.

If these problems sound familiar, you're not alone.

The bookkeeping challenges most medical practices face and exactly how we solve them.

The bookkeeping challenges most medical practices face and exactly how we solve them.

Going it alone

Books always behind

Books always behind

GST treatment handled incorrectly

GST treatment handled incorrectly

Cashflow gaps from payment timing

Cashflow gaps from payment timing

BAS always last minute

BAS always last minute

Current bookkeeper doesn't understand healthcare

Current bookkeeper doesn't understand healthcare

With Elephant Advisory

Records reconciled and current

Records reconciled and current

GST-free income managed correctly

GST-free income managed correctly

Forecasting around payment cycles

Forecasting around payment cycles

Every lodgement on time

Every lodgement on time

Specialists with medical industry experience

Specialists with medical industry experience

Is it time?

Signs your books need help

Signs your books need help

Reconciliations are weeks or months behind

Reconciliations are weeks or months behind

BAS time is a scramble every quarter

BAS time is a scramble every quarter

You’ve hired your first employee

You’ve hired your first employee

You don’t trust your reports to make decisions

You don’t trust your reports to make decisions

“At Elephant Advisory, we handle the books so you can focus on the business - with real-time visibility through Xero, wherever you are.”

“At Elephant Advisory, we handle the books so you can focus on the business - with real-time visibility through Xero, wherever you are.”

Your bookkeeping lead

Marissa Moro

Marissa Moro

Director & Head of Bookkeeping

Marissa has over eight years of bookkeeping experience and a genuine passion for helping businesses take control of their finances. She's proactive, precise, and committed to making bookkeeping easy, accurate, and stress-free for every client she works with. Whether it's reconciling accounts, tracking cash flow, or streamlining financial systems, she's across the detail so you don't have to be.

Marissa has over eight years of bookkeeping experience and a genuine passion for helping businesses take control of their finances. She's proactive, precise, and committed to making bookkeeping easy, accurate, and stress-free for every client she works with. Whether it's reconciling accounts, tracking cash flow, or streamlining financial systems, she's across the detail so you don't have to be.

Read Marissa’s profile

FAQ

Let's clear a few things up.

Let's clear a few things up.

Medical practice bookkeeping involves GST-free income, multiple payment sources, complex payroll, and strict BAS obligations. Outsourcing means your records are always accurate, your compliance is always met, and you are never distracted from patient care.

Most healthcare services are GST-free under Australian tax law, which requires specific treatment in your BAS and income reporting. We make sure every income stream is categorised correctly so your GST position is always accurate.

Yes. We reconcile all payment sources including Medicare, private health insurers, and patient payments so your records always reflect what has actually been received and what is still outstanding.

We build forecasts around your Medicare and insurer payment cycles so you always have visibility over your cash position and can plan for gaps between service delivery and payment receipt.

Yes. Medical practices often employ staff across different roles and award categories. We manage your payroll correctly, make sure super is paid on time, and keep your records in order.

Our pricing is tailored to the size and complexity of your practice. Book a free consultation and we will walk you through your options clearly before any work begins.

Get your weekends back.

Get your weekends back.

Tell us about your business and we’ll quote a fixed monthly fee.

Elephant Financial Pty Ltd (ABN 38 611 576 240) trading as Elephant Advisory is an authorised credit representative (ACR 487962) of Yellow Brick Road Aggregation Pty Ltd (formerly Vow Financial Pty Ltd) (ABN 66 138 789 161), Australian Credit Licence 390261. Accounting and tax services are provided by Elephant Tax Pty Ltd (ABN 39 626 563 755), bookkeeping by Elephant Bookkeeping Pty Ltd (ABN 49 682 979 139), digital marketing by Elephant Digital Pty Ltd (ABN 72 692 273 091) and offshore staffing by Elephant Teams Pty Ltd (ABN 24 656 874 789).

Elephant Financial Pty Ltd (ABN 38 611 576 240) trading as Elephant Advisory is an authorised credit representative (ACR 487962) of Yellow Brick Road Aggregation Pty Ltd (formerly Vow Financial Pty Ltd) (ABN 66 138 789 161), Australian Credit Licence 390261. Accounting and tax services are provided by Elephant Tax Pty Ltd (ABN 39 626 563 755), bookkeeping by Elephant Bookkeeping Pty Ltd (ABN 49 682 979 139), digital marketing by Elephant Digital Pty Ltd (ABN 72 692 273 091) and offshore staffing by Elephant Teams Pty Ltd (ABN 24 656 874 789).

Elephant Financial Pty Ltd (ABN 38 611 576 240) trading as Elephant Advisory is an authorised credit representative (ACR 487962) of Yellow Brick Road Aggregation Pty Ltd (formerly Vow Financial Pty Ltd) (ABN 66 138 789 161), Australian Credit Licence 390261. Accounting and tax services are provided by Elephant Tax Pty Ltd (ABN 39 626 563 755), bookkeeping by Elephant Bookkeeping Pty Ltd (ABN 49 682 979 139), digital marketing by Elephant Digital Pty Ltd (ABN 72 692 273 091) and offshore staffing by Elephant Teams Pty Ltd (ABN 24 656 874 789).