Revenue Accountant

WVU Medicine

10d • Onsite

About The Position

The Revenue Accountant is primarily responsible for the accurate billing, accounting, reconciliation, and reporting of individual member premium revenue associated with government insurance products. In addition, this role will support billing and collection to various customers of Peak, including but not limited to self-funded and fully insured clients. This role ensures compliance with regulatory requirements, supports financial reporting, and collaborates with cross-functional teams to maintain data integrity across premium billing, collections, and revenue recognition processes.

Requirements

• Bachelor’s degree in accounting or finance.
• Two (2) years of accounting experience.
• Ability to manage multiple priorities and meet deadlines.
• Excellent organizational skills, attention to detail, accuracy, time management, and deadline adherence.
• Strong verbal and written communication skills; analytical and interpretive skills.
• Strong understanding of GAAP; knowledge of statutory accounting (SAP).

Nice To Haves

• Understanding of health insurance regulatory environment.
• Experience with health insurance accounting is required, including experience supporting government insurance products (e.g., Medicare and/or Medicaid).

Responsibilities

• Perform monthly accounting for member premium revenue, including accruals, adjustments, and deferrals. Ensure information technology cycles and operational processes complete on schedule.
• Reconcile premium billing systems to the general ledger and resolve discrepancies timely.
• Analyze premium receivables, cash applications, and aging to ensure accuracy and completeness.
• Monitor and report on unapplied cash and premium variances.
• Prepare journal entries and account reconciliations in accordance with GAAP and statutory accounting principles (SAP), as applicable.
• Support monthly, quarterly, and year-end close processes.
• Assist with regulatory reporting requirements.
• Ensure compliance with internal controls, SOX requirements, and audit standards.
• Investigate and resolve complex premium issues, including eligibility discrepancies, retroactive adjustments, and billing errors.
• Partner with Enrollment, Billing, Actuarial, and IT teams to address root causes of discrepancies.
• Perform trend analysis on premium revenue and membership data.
• Support system implementations, upgrades, loading of premium rates and testing related to premium billing and accounting.
• Identify and implement process improvements to enhance efficiency and accuracy.
• Maintain documentation of accounting workflows and procedures.
• Assist internal and external auditors by providing documentation and explanations for premium-related balances and processes.
• Support ad hoc financial analysis and special projects as needed.
• Coordinate with the enrollment department as it pertains to member grace periods and assist in policy development.
• Responsible for managing a queue of CRMs related to member premium.
• Support billing and collection activities to Third Party Administration customers and group insurance customers as applicable.
• Assist in material development and education to support the navigation and modality of premium invoice payment options.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level