Senior Accountant - Revenue Recognition

Veradigm • Raleigh, NC

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About The Position

The Senior Revenue Accountant is responsible for the accurate recognition, recording, and reporting of revenue in accordance with US GAAP (ASC 606) within a healthcare environment. A key focus of this role is the identification, establishment, and ongoing management of specific customer-level reserves for accounts where collectability is uncertain and revenue recognition must be paused or deferred. This individual contributor role requires strong technical accounting knowledge, sound judgment in evaluating customer risk, and the ability to collaborate cross-functionally with billing, collections, and finance teams.

Responsibilities

• Record and review revenue transactions in compliance with ASC 606 and company revenue recognition policies
• Perform monthly close activities including journal entries, account reconciliations, and variance analysis related to revenue accounts
• Ensure proper cut-off and completeness of revenue recorded across customer accounts and service lines
• Assist in the preparation of revenue-related schedules for financial reporting and audit support
• Identify and evaluate customer accounts where collectability is no longer probable, triggering a pause or deferral of revenue recognition
• Establish, maintain, and adjust specific customer-level reserves based on ongoing assessment of collection risk, account status, payer behavior, and supporting documentation
• Partner with the billing, collections, and accounts receivable teams to obtain current account information and inform reserve decisions
• Prepare and maintain detailed reserve schedules, including reserve rationale, aging analysis, and historical collection trends
• Monitor reserved accounts on a recurring basis and release or increase reserves as appropriate based on updated collectability assessments
• Document reserve methodology and ensure consistency of application across periods in accordance with accounting policy
• Prepare monthly reserve roll-forward schedules and present findings to the Accounting Manager / Controller
• Analyze revenue trends, deferred revenue balances, and reserve activity to identify anomalies or emerging risks
• Support internal and external audit requests related to revenue and reserve accounts
• Assist in the development and documentation of accounting policies related to revenue recognition and specific reserves
• Work closely with billing, collections, and revenue cycle teams to stay informed on customer account developments
• Coordinate with FP&A on revenue forecasting inputs related to reserve activity
• Serve as a subject matter resource for revenue recognition and reserve questions from the broader accounting team

Benefits

• Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees