Billing Accountant

Senior Helpers•Towson, MD
•Hybrid

About The Position

Altocare is seeking a motivated, detail-oriented Billing Accountant to join its accounting team. The position combines ownership of billing and accounts receivable with core staff accounting responsibilities. The Billing Accountant ensures invoices, cash receipts, and receivables are accurate and timely, and handles related journal entries, reconciliations, and reporting during the monthly close. The role requires careful organization, accurate recordkeeping, management of recurring deadlines, and professional communication with franchisees, clients, and payers about billing matters.

Requirements

  • Bachelor’s degree in accounting, finance, or a related field.
  • 2–3 years of accounting, billing, or accounts receivable experience.
  • Working knowledge of GAAP, including revenue recognition and accrual accounting.
  • Hands-on experience with AR subledger-to-general-ledger reconciliations and bank reconciliations.
  • Proficiency in accounting software and strong Microsoft Excel skills, including pivot tables, XLOOKUP/VLOOKUP, and SUMIFS.
  • Exceptional attention to detail and a demonstrated track record of accurate invoices, entries, and reconciliations, supported by disciplined checklists and self-review.
  • Strong organization and ability to manage multiple billing cycles, deadlines, and priorities while keeping records complete and easy to audit.
  • Effective written and verbal communication skills, including the ability to explain billing and account issues clearly and courteously to external and internal contacts.
  • Strong analytical and critical thinking skills, with the ability to research and resolve discrepancies.
  • Ability to consistently meet month-end close and billing deadlines.

Nice To Haves

  • Healthcare, home care, or franchise billing experience.
  • Experience with Sage Intacct.
  • Familiarity with billing systems and payer portals.
  • Medicaid and managed care billing experience.

Responsibilities

  • Prepare, review, and issue accurate, timely invoices, including recurring franchise royalty and fee billing and client and payer billing.
  • Post and apply customer payments, ACH receipts, and credits; research and resolve unapplied cash.
  • Monitor AR aging, follow up on collections, and escalate past-due balances in accordance with company policy.
  • Investigate and resolve billing disputes, denials, short-pays, and ACH returns in partnership with operations and franchise support teams.
  • Maintain accurate customer master data and organized billing records in accounting and billing systems.
  • Review invoices and billing data for errors in rates, quantities, and customer information before release.
  • Prepare monthly close journal entries for revenue, accounts receivable, deferred revenue, and related accruals.
  • Reconcile the AR subledger to the general ledger monthly and investigate and clear reconciling items.
  • Analyze and recommend the allowance for doubtful accounts and bad-debt write-offs for management review.
  • Perform monthly balance sheet reconciliations for assigned accounts and maintain supporting documentation.
  • Prepare AR, revenue, cash collections, and DSO reporting and variance analysis for the Senior Accountant and Controller.
  • Support compliance with GAAP and internal controls over billing, cash application, and revenue.
  • Support financial statement audits by preparing AR and revenue schedules and responding to auditor requests.
  • Maintain and follow a monthly close and billing calendar, tracking tasks through completion.
  • Identify and help implement process improvements and automation in billing and collections.
  • Respond to information requests from the accounting and finance team and other departments.
  • Assist the Senior Accountant and Controller with other accounting projects as needed.

Benefits

  • Competitive pay
  • Growth potential
  • Comprehensive medical, dental, and vision health insurance, with a generous percentage paid by the company
  • Flexible Spending Account for health and dependent care
  • Company-paid life insurance, AD&D, and short-term disability
  • Competitive group rates for voluntary long-term disability
  • 401(k) with excellent matching
  • Paid vacation, personal days, and holidays
  • Paid day off for your birthday
  • Gym membership allowance reimbursement
  • Education tuition reimbursement
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