About the role

  • Senior Accountant managing complex reconciliations in private equity backed healthcare organization. Involved in financial reporting and collaboration across operational teams.

Responsibilities

  • Own complex reconciliations involving claims data from multiple systems (billing platforms, claims databases, payor reports, and GL).
  • Validate completeness and accuracy of claims files prior to revenue recognition and/or client reporting.
  • Investigate discrepancies between operational claims data and financial system outputs; identify root causes and drive resolution.
  • Develop and maintain reconciliation templates and processes as the business, systems, and payor relationships evolve.
  • Work closely with claims operations, billing, and revenue cycle teams to ensure upstream data integrity.
  • Perform deep dive analysis on claims variances, aging, denials, and adjustments to support decision making.
  • Clearly communicate findings to both finance and nonfinance stakeholders—including claims operations, client-facing teams, and leadership.
  • Provide ongoing insight into claims trends, anomalies, and system issues.
  • Prepare and review month-end journal entries and reconciliations related to claims activity, revenue, AR, accruals, and other assigned accounts.
  • Support the monthly close calendar and ensure claims related journal entries are completed accurately and on time.
  • Assist with preparation of internal financial reporting packages as needed.
  • Partner with cross-functional teams to understand how operational changes impact claims accounting.
  • Support onboarding of newly acquired providers/entities, including mapping of claims data and integrating claims related processes.
  • Assist with ad hoc reporting requests tied to claims, client deliverables, or operational performance.
  • Identify and implement improvements to streamline claims reconciliations and enhance data integrity.
  • Strengthen internal controls around claims data flow, reconciliation, and reporting.
  • Support system enhancements or implementations impacting claims or billing workflows.
  • Maintain proper documentation for reconciliations and claims related accounting processes.

Requirements

  • Bachelor’s degree in Accounting or Finance required; CPA or CPA-track preferred.
  • Big 4 Experience highly preferred
  • Strong analytical and investigative mindset with proven ability to reconcile complex datasets.
  • Experience working with EHR, billing, or claims systems (e.g., Athena, NextGen, Epic, eClinicalWorks, or similar) is a plus.
  • Advanced Excel skills; comfort working with large datasets is essential.
  • Ability to function effectively in a fast-paced, PE-backed environment with shifting priorities.
  • Excellent communication skills—able to explain technical accounting findings to non-technical audiences.
  • High attention to detail, strong organizational skills, and a sense of ownership.

Benefits

  • Sponsor CPA exam costs for eligible candidates
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short & Long Term Disability
  • Life Insurance
  • 401k with company match
  • Paid Time Off
  • Paid Parental Leave

Job title

Senior Accountant

Job type

Experience level

Senior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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