Senior Accountant

Mercalis • ,

6d • Onsite

About The Position

The Senior Accountant – Financial Operations plays a critical role in supporting patient affordability and market access programs through the oversight of accounts receivable (AR), billing, reimbursement tracking, deferred revenue accounting, and financial reconciliation processes. This position ensures the accuracy, integrity, and compliance of financial transactions related to patient assistance programs, copay support, hub services, and payer-related reimbursements.
This role partners closely with Patient Services, Market Access, Customer Service, Program Operations, and external stakeholders to resolve reimbursement discrepancies, manage financial risk, ensure proper revenue recognition (including deferred revenue), and support program performance while maintaining strong internal controls and optimizing cash flow.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field (required).
• 7–10 years of progressive accounting experience.
• Strong experience managing AR, billing, and revenue recognition in a reimbursement-driven, contract-based environment.
• Demonstrated experience calculating, booking, and reconciling deferred revenue.
• Experience working with ERP systems and program management platforms.
• Strong knowledge of GAAP, ASC 606, and revenue recognition principles.
• Experience analyzing complex contracts and identifying performance obligations.
• Advanced Excel skills and strong analytical capabilities.
• Ability to interpret and apply program funding agreements and reimbursement methodologies.
• Regularly required to talk or hear.
• Frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms.
• Can type at least 35 words per minute with 97% accuracy.

Nice To Haves

• CPA preferred.
• Experience supporting patient affordability programs, copay assistance, hub services, or market access functions preferred.
• Flexibility to travel as needed is preferred.

Responsibilities

• Lead and manage the full AR lifecycle related to patient affordability and market access programs, including invoicing, cash application, adjustments, credits, and collections.
• Reconcile manufacturer funding, program reimbursements, administrative fees, and third-party payments to contractual terms.
• Calculate, book, and reconcile deferred revenue in accordance with GAAP and contractual performance obligations.
• Analyze reimbursement activity to identify short-payments, overpayments, eligibility discrepancies, and funding gaps.
• Monitor aging reports, unapplied cash, deferred revenue balances, and program receivable accounts to ensure timely resolution.
• Review and approve financial adjustments, credits, reserves, and write-offs.
• Ensure revenue recognition aligns with GAAP, contract terms, and timing of performance obligations.
• Evaluate program contracts to determine appropriate revenue recognition treatment, including identification of performance obligations and timing considerations.
• Prepare and record journal entries related to program revenue, deferred revenue, accruals, reserves, and receivables.
• Reconcile deferred revenue schedules to the general ledger on a monthly basis.
• Lead preparation of revenue roll-forwards and audit-ready documentation.
• Support technical accounting analysis related to contract modifications or new program structures.
• Serve as financial liaison to Patient Services, Market Access, and Customer Service teams for billing and reimbursement inquiries.
• Support resolution of escalated patient assistance or copay program financial discrepancies.
• Provide financial insight into program funding utilization, reimbursement trends, and revenue timing.
• Assist in evaluating financial impact of program design changes or new market access initiatives.
• Identify recurring process issues impacting patient experience and recommend improvements.
• Lead month-end close activities related to affordability and access programs, including AR, deferred revenue, accruals, and funding reconciliations.
• Reconcile program sub-ledgers to the general ledger.
• Prepare financial reporting and analytics for leadership, including funding utilization, DSO, deferred revenue balances, and reimbursement variance trends.
• Support forecasting and budgeting related to program revenue and funding utilization.
• Maintain strong internal controls over billing, reimbursement validation, deferred revenue, and funding reconciliation.
• Ensure compliance with contractual agreements, program guidelines, and company financial policies.
• Support internal and external audits, including documentation related to revenue recognition and deferred revenue balances.
• Document and enhance financial procedures related to affordability and access programs.
• Develop and monitor KPIs including DSO, funding utilization rates, reimbursement variance trends, deferred revenue aging, and cash conversion metrics.
• Identify trends impacting financial performance, revenue timing, or program sustainability.
• Recommend automation and reporting enhancements to improve revenue and deferred revenue transparency.
• Participate in ERP enhancements or program platform implementations impacting revenue accounting.

Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
• Additional health support, including telehealth and Employee Assistance Program (EAP) services
• Company match on Health Savings Account contributions
• Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
• Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
• 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
• Paid Time Off (PTO) and Sick Leave to support work-life balance
• Team members receive nine paid holidays plus two floating holidays
• Opportunities for advancement in a company that supports personal and professional growth
• A challenging, stimulating work environment that encourages new ideas
• Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
• A mission-driven, inclusive culture where your work makes a meaningful impact

What This Job Offers

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