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Senior Accountant- Patient Revenue

Job in Chicago, Cook County, Illinois, 60290, USA
Listing for: hireneXus
Full Time position
Listed on 2026-07-18
Job specializations:
  • Accounting
    Financial Reporting, Accounts Receivable/ Collections, Financial Analyst
Salary/Wage Range or Industry Benchmark: 85000 - 110000 USD Yearly USD 85000.00 110000.00 YEAR
Job Description & How to Apply Below

The Senior Accountant is responsible for supporting the month-end close process related to patient revenue and accounts receivable, including the preparation of journal entries, account reconciliations, and analysis of revenue estimates and trends. This role partners closely with Revenue Cycle Management, Payor Contracting, FP&A, Data Analytics, and other cross-functional teams to enhance revenue recognition methodologies, improve accounting processes, and support automation initiatives.

The ideal candidate is analytical, collaborative, and thrives in a fast-paced environment focused on continuous improvement.

Key Responsibilities
  • Lead month-end close activities related to patient revenue and accounts receivable, including preparing journal entries, account reconciliations, and supporting schedules.
  • Conduct collection trend analyses and lookback reviews to assess the accuracy of patient revenue estimates and recommend adjustments where appropriate.
  • Analyze large and complex financial and operational datasets to support revenue recognition, reporting accuracy, and strategic business decisions.
  • Collaborate closely with Revenue Cycle Management, Payor Contracting, FP&A, Data Analytics, and other cross-functional teams to enhance revenue forecasting assumptions and reporting processes.
  • Drive process optimization initiatives by identifying opportunities for automation, system enhancements, and workflow improvements within revenue accounting.
  • Develop, document, and refine accounting procedures that require coordination across multiple departments, including unapplied cash and patient credit accounting processes.
  • Evaluate and strengthen accounting policies, internal controls, and operational procedures to support compliance, efficiency, and scalable growth.
  • Contribute to special projects, system implementations, and continuous improvement initiatives that enhance the overall accounting function.
  • Thrive in a dynamic environment by effectively managing changing priorities while fostering collaboration and operational excellence.
Required Qualifications
  • Bachelor's degree in Accounting or a related field.
  • 4–6 years of progressive accounting experience, ideally within a complex, multi-entity organization.
  • Hands-on experience with healthcare revenue cycle operations and patient accounting.
  • Solid understanding of U.S. GAAP, accounting principles, financial controls, and corporate accounting practices.
  • Proven experience supporting month-end close, balance sheet reconciliations, and financial reporting in a high-volume transactional environment.
  • Strong analytical capabilities with experience interpreting large datasets and translating insights into actionable business recommendations.
  • Demonstrated success in improving accounting processes, documentation, and operational workflows with an emphasis on automation and scalability.
  • Advanced proficiency in Microsoft Excel and experience working with multiple ERP and financial reporting systems.
  • Excellent analytical, organizational, problem-solving, and documentation skills with strong attention to detail.
  • Effective communication and interpersonal skills, with the ability to collaborate across departments, influence stakeholders, and manage multiple deadlines.
  • Self-driven professional with a continuous improvement mindset and a passion for building efficient, scalable accounting processes.
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Position Requirements
10+ Years work experience
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