Billing and Revenue Accountant

The Billing and Revenue Accountant acts as the crucial bridge between the Billing and Accounting departments. This role is responsible for overseeing the quality control of all billing and accounts receivable (A/R) activities, taking ownership of revenue-related general ledger accounts, and ensuring subledgers and billing records fully reconcile to the general ledger on a monthly basis.

Key Responsibilities

Financial Reconciliations & Quality Control

• Serve as the key liaison between Billing and Accounting to ensure seamless flow of billing, payments, adjustments, and reconciliation data.

• Conduct thorough quality control reviews of invoices, billing files, payment postings, adjustments, and account reconciliations prior to final submission.

• Perform monthly reconciliations linking billing systems, A/R aging reports, payer remittances, and cash receipts directly to the general ledger.

• Investigate and resolve accounting variances in collaboration with Billing, Treasury, Accounting, and operational teams.

General Ledger & Month-End Close

• Maintain complete ownership of assigned revenue and A/R general ledger accounts, supporting schedules, and monthly reconciliations.

• Prepare and post monthly journal entries for revenue recognition, cash applications, unbilled/deferred revenue, accruals, and contractual adjustments.

• Support monthly and year-end close cycles by completing required schedules, variance analyses, and reconciliations within set deadlines.

Reporting, Internal Controls & Audit Support

• Monitor A/R aging, unapplied cash, credit balances, denials, and recoupments; analyze trends and proactively resolve discrepancies.

• Generate clear revenue and A/R reports highlighting account balances, activity trends, potential risks, and required action items.

• Maintain robust internal controls and documentation for all billing-to-GL workflows, continuously recommending process efficiencies.

• Assist with internal/external audits, payer reviews, and system enhancements or testing.

• Provide training and documentation standards to team members, uphold strict confidentiality, and handle special accounting projects as needed.

Qualifications & Competencies

Required Qualifications

• Education: Bachelor’s degree in Accounting, Finance, Business, or a related field.

• Experience: 3+ years of experience in accounting, billing, A/R, or financial reconciliation within a fast-paced environment.

• Technical Accounting: Proven track record reconciling subledger activity to the general ledger and preparing journal entries.

Preferred Experience

• Familiarity with enterprise ERP platforms, specialized billing systems, or claims processing software.

Core Competencies

• Technical Proficiency: Advanced Microsoft Excel skills (pivot tables, complex lookups, data analysis, and reconciliation functions).

• Domain Knowledge: Solid grasp of general ledger accounting, revenue recognition principles, and accounts receivable workflows.

• Analytical & Detail-Oriented: Exceptional problem-solving skills with a high degree of precision, accuracy, and accountability.

• Communication & Collaboration: Strong written and verbal communication skills with the ability to partner effectively across departments.

• Time Management: Highly organized with the ability to manage competing deadlines independently while supporting team goals.