Senior Accountant

Key Responsibilities

• Manage monthly revenue recognition and reconciliation processes.
• Analyze Medicaid, Medicare, grant, insurance, and contract revenue activity.
• Prepare journal entries, reconciliations, and month end close schedules.
• Reconcile billing systems to the general ledger and resolve discrepancies.
• Monitor deferred revenue, accruals, contractual adjustments, and allowances.
• Prepare regulatory, grant, and funder reporting submissions.
• Support audits, cost reports, compliance reviews, and financial reporting.
• Track receivables, denials, cash collections, and aging trends.
• Partner with operational and revenue cycle teams to resolve reporting issues.
• Support process improvements, internal controls, and accounting workflow optimization.
• Assist with budgeting, forecasting, and Board reporting support.

• 5 plus years of progressive accounting experience.
• Strong experience with revenue recognition, reconciliations, and financial reporting.
• Experience with Medicaid, Medicare, grants, or third party reimbursement environments.
• Experience preparing regulatory, funder, or reimbursement reporting.
• Bachelor’s degree in Accounting, Finance, or related field required.
• Strong knowledge of GAAP and revenue recognition standards.
• Advanced Excel and financial systems experience required.
• Experience supporting audits and compliance reviews.
• Strong analytical, organizational, and problem solving skills.
• CPA certification is a plus.
• Behavioral health, nonprofit healthcare, or human services industry experience.
• Experience with EHR or healthcare billing systems.
• Experience with single audits or cost reports.

Annual Salary: $70,000 - $80,000 USD