Accounting Specialist - AR

ABOUT LLCHCLower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay! We served over 15,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters!

Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage.

JOB SUMMARY The Accounting Specialist (Accounts Receivable & Revenue Accounting) is responsible for supporting the accuracy, integrity, and reconciliation of patient service revenue and accounts receivable. This role works closely with the Revenue Cycle Management (RCM) team, Pharmacy operations, and Financial Analysts to ensure alignment between billing systems, operational data, and the general ledger.

The position plays a key role in monitoring receivables, analyzing variances, and supporting month-end close, while ensuring compliance within a Federally Qualified Health Center (FQHC) environment.

ESSENTIAL

JOB RESPONSIBILITIES:

Accounts Receivable & Revenue (Primary Focus)
Reconcile patient accounts receivable between EHR systems (e.g., EPIC) and the general ledger

Monitor A/R aging and investigate variances, trends, and unusual balances

Analyze cash postings, adjustments, and write-offs for accuracy and completeness

Partner with the Revenue Cycle Management team to resolve discrepancies in billing, collections, and denials

Track and reconcile third-party payer activity and patient payments

Support reconciliation of pharmacy and 340B-related revenue streams

Ensure accurate recording of revenue in accordance with GAAP and organizational policies

General Accounting & Financial Support Prepare journal entries related to revenue, receivables, and cash Perform monthly account reconciliations

Assist with month-end and year-end close

Support financial reporting and variance analysis

Maintain general ledger accuracy

Financial Analysis & Reporting Collaboration Work closely with Financial Analysts to validate revenue data and reporting outputs

Support development of revenue and A/R dashboards

Revenue Cycle & Cross-Functional Collaboration Serve as liaison between Finance, Financial Analysts, and RCMSupport alignment between billing activity and financial reporting

Collaborate with Pharmacy and Finance teams

Identify workflow gaps impacting revenue and collections

Compliance & Controls Ensure adherence to internal controls

Support audit requests and documentation

Maintain compliance with FQHC regulatory requirements

Monitor controls over billing-to-cash processes

Process Improvement & Systems Improve A/R reconciliation and reporting processes

Support system enhancements and data integrity

Other Duties Participate in special projects

Perform other duties as assigned BENEFITS AND PERKS Health benefits including medical, vision, dental, life, disability

Generous Paid Time Off
10 Paid Holidays Student loan forgiveness opportunities

Employee Assistance Program (EAP) with access to various consultants 3% match toward retirement fund

And more!

LIVING OUR VALUESYou are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion.

Education &

Qualifications:

Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred2–4 years of accounting experience with A/R or revenue focus

Healthcare or nonprofit experience preferred

Experience with EPIC (or similar EHR), Net Suite, and Excel Understanding of GAAPStrong analytical and organizational skills

Skills & Competencies Analytical Thinking Attention to Detail Collaboration Accountability Continuous  Improvement
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