Senior Accountant – Revenue & Reporting
Overview
A healthcare organization in Fremont, CA, is seeking a detail-oriented Senior Accountant – Revenue & Reporting to support critical revenue accounting, financial reporting, reimbursement analysis, and regulatory activities. This role will analyze net patient service revenue, maintain contractual allowance and reserve calculations, reconcile patient accounts receivable activity, and develop clear reporting for management review.
The ideal candidate combines strong accounting fundamentals with advanced Excel skills, analytical judgment, and the ability to collaborate effectively with Revenue Cycle, Finance, auditors, and regulatory stakeholders. This is a hybrid, contract-to-hire opportunity with the expectation of working onsite three days per week.
Key Responsibilities
- Analyze monthly net patient service revenue, calculate contractual allowances, and prepare related revenue adjustment journal entries.
- Conduct revenue analysis and prepare explanations for monthly and year-to-date budget-to-actual variances.
- Assist with maintaining and refining contractual allowance models, revenue reserve calculations, and related accounting methodologies.
- Partner with Revenue Cycle and Finance teams to research and resolve reimbursement discrepancies, payment issues, and other revenue-related matters.
- Perform general ledger reconciliations, including patient accounts receivable reserves, contractual allowances, and other revenue-related accounts.
- Prepare monthly financial reports, account schedules, and supporting documentation for management review.
- Reconcile the Epic accounts receivable subledger to the general ledger monthly, researching and resolving discrepancies as needed.
- Support the annual financial audit process by preparing audit schedules, compiling documentation, and responding to auditor inquiries.
- Prepare and coordinate supporting schedules for Medicare and Medicaid cost reports.
- Assist with regulatory filings, including HCAI reports and other reimbursement-related submissions.
- Provide support for reimbursement audits, desk reviews, and inquiries from governmental and regulatory agencies.
- Maintain the confidentiality and integrity of sensitive financial and organizational information.
- Cross-train and provide support in other functional areas as needed.
Required Skills and Qualifications
- Bachelor’s degree in Accounting, Finance, or a related field.
- At least three years of public accounting experience or healthcare/hospital accounting experience.
- Advanced Microsoft Excel proficiency, including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data analysis.
- Strong analytical, problem-solving, and critical-thinking skills.
- Exceptional attention to detail and accuracy.
- Ability to analyze and interpret complex financial data and communicate findings clearly.
- Ability to manage competing priorities, meet deadlines, and adapt in a fast-paced environment.
- Excellent written and verbal communication skills.
- Ability to work independently while collaborating effectively with cross-functional teams.
- Positive, proactive, and solutions-oriented approach.
- Sound judgment when communicating with internal and external stakeholders.
- Consistent reliability, punctuality, and attendance.
Nice-to-Have Skills
- Experience with healthcare accounting, hospital finance, reimbursement, or revenue cycle operations.
- Familiarity with hospital reimbursement methodologies, contractual allowances, and net patient revenue accounting.
- Experience using Workday Financials and Epic.
- CPA certification or progress toward CPA licensure.
- Experience supporting Medicare and Medicaid cost reports, HCAI reports, reimbursement audits, or regulatory reviews.
- Public accounting experience with healthcare clients.
- Experience preparing audit schedules and supporting annual financial audits.
Preferred Education and Experience
- Bachelor’s degree in Accounting, Finance, or a related discipline is required.
- Three or more years of relevant public accounting or healthcare/hospital accounting experience is required.
- Healthcare accounting, hospital reimbursement, and revenue reporting experience are strongly preferred.
- CPA certification or active progress toward CPA licensure is preferred.
Other Requirements
- Work arrangement: Hybrid; onsite in Fremont, CA, three days per week.
- Employment type: Contract-to-hire, with an anticipated initial contract period of two to three months.
- Must be able to handle confidential financial and organizational information with discretion.
- Must be willing to accept direction and feedback constructively while taking ownership of assigned responsibilities.
- Must communicate professionally and tailor the level of detail to both technical and nontechnical audiences.
