Senior Staff Accountant

Confluent Health•Lyndon, KY
•Hybrid

About The Position

The Senior Revenue Accountant supports the accounting and analysis of net patient revenue across multiple brands within the organization. Working closely with the Director of Revenue Accounting OPT and Revenue leadership, this role maintains accurate revenue reporting, performs balance sheet analysis, develops supporting financial schedules, and investigates trends and variances. This is a hybrid position with three days in the office in Louisville, Kentucky.

Requirements

  • Bachelor’s degree in Accounting or Finance.
  • 2–3 years of healthcare accounting or corporate accounting experience.
  • Experience using ERP systems.
  • Advanced Excel skills.
  • Demonstrated knowledge of GAAP and a strong understanding of balance sheet accounting, account reconciliation, and financial statement relationships.
  • Ability to independently structure and execute assignments from high-level direction with limited supervision.
  • Ability to thrive in a fast-paced, constantly changing environment.
  • Ability to recognize when priorities need to shift.

Nice To Haves

  • Oracle NetSuite experience.

Responsibilities

  • Analyze revenue models used in net patient revenue calculations.
  • Perform detailed balance sheet account analysis, including reconciliations to external systems, roll-forward schedules, aging analysis, trend analysis, and investigation of unusual or aged balances and discrepancies.
  • Prepare and record journal entries, including supporting schedules and documentation.
  • Calculate monthly revenue accruals and evaluate recorded balances using historical trends and supporting operational data.
  • Analyze unexpected fluctuations in net patient revenue, balance sheet accounts, collections, and other key financial metrics.
  • Transform large or complex data sets into organized financial schedules, analyses, and management-ready reporting based on high-level direction and defined business objectives.
  • Prepare quarterly AR lookback schedules and perform collection and reserve analyses to evaluate the adequacy of recorded reserves.
  • Identify trends, anomalies, risks, or additional analytical needs and communicate relevant findings to Revenue leadership.
  • Recognize opportunities to provide additional analysis or support based on business discussions, financial results, and emerging priorities, and proactively engage where appropriate.
  • Provide support on external and internal audits.
  • Provide analytical and accounting support to executive and senior leadership.
  • Participate in process improvement initiatives and recommend opportunities to strengthen controls, reporting, and workflow efficiency.
  • Develop and maintain collaborative working relationships across Finance, Revenue Cycle, Operations, and other business functions.
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