Accounting Specialist - AR
About The Position
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.
Requirements
- Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred
- 2–4 years of accounting experience with A/R or revenue focus
- Healthcare or nonprofit experience preferred
- Experience with EPIC (or similar EHR), NetSuite, and Excel
- Understanding of GAAP
- Strong analytical and organizational skills
- Analytical Thinking
- Attention to Detail
- Collaboration
- Accountability
- Continuous Improvement
Responsibilities
- 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
- 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
- Work closely with Financial Analysts to validate revenue data and reporting outputs
- Support development of revenue and A/R dashboards
- Serve as liaison between Finance, Financial Analysts, and RCM
- Support alignment between billing activity and financial reporting
- Collaborate with Pharmacy and Finance teams
- Identify workflow gaps impacting revenue and collections
- Ensure adherence to internal controls
- Support audit requests and documentation
- Maintain compliance with FQHC regulatory requirements
- Monitor controls over billing-to-cash processes
- Improve A/R reconciliation and reporting processes
- Support system enhancements and data integrity
- Participate in special projects
- Perform other duties as assigned
Benefits
- 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!
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
