Sr. Accountant - Healthcare Revenue and AR
About The Position
TriasMD is hiring a Senior Accountant to own net patient service revenue and accounts receivable for all DISC Surgery Centers. The role is part of a specialist accounting team working toward a 15-day close and covers seven center entities and three corporate entities, with accounting performed in Sage Intacct. The position validates billing data before it is booked, records revenue under ASC 606, maintains contractual allowance and bad debt reserve methodologies, reconciles receivables, and supports audit and analytics work. It also reviews work completed by a staff accountant and an offshore accountant. The role reports directly to the Director of Accounting and is based onsite at TriasMD’s Newport Beach corporate office five days a week, with additional hours during month-end close.
Requirements
- At least 5 years of progressive accounting experience; prior responsibility for healthcare provider revenue or receivables is strongly preferred.
- Hands-on experience with net patient service revenue and receivable valuation under ASC 606 is strongly preferred, including payer contractual adjustments and implicit price concessions.
- Provider-side experience at an ambulatory surgery center, hospital, physician group, or MSO.
- Working knowledge of how charges, payments, adjustments, and denials flow from a billing system into the general ledger.
- Experience building or maintaining a reserve methodology and testing it against actual results.
- Advanced Excel skills and strong analytical abilities, including experience with transaction-level data sets containing tens of thousands of rows.
- Ability to support and defend accounting estimates and proactively escalate when underlying support does not hold.
Nice To Haves
- CPA license.
- Ambulatory surgery center experience specifically.
- Workers compensation or personal injury reimbursement experience.
- Experience with Sage Intacct, HST, or a comparable ASC billing system.
- Private equity-backed or multi-site platform experience.
Responsibilities
- Test the billing vendor’s monthly revenue file against case volume from the practice management system by center and payer before posting.
- Explain variances, out-of-period adjustments, and cases billed without a contractual write-off.
- Record net patient service revenue under ASC 606 across all centers, net of contractual adjustments and implicit price concessions.
- Own payer-level contractual allowance and bad debt reserve methodologies, including the personal injury realization policy, and validate them through hindsight testing against actual collections.
- Reconcile gross receivables, contractual allowances, reserves, unapplied cash, and credit balances to the billing system each month, resolving differences to their root cause.
- Work with the revenue cycle team and billing vendor on payer behavior, denials, cash posting, and corrections, translating operational activity into appropriate accounting entries.
- Prepare revenue and receivable schedules, roll-forwards, and methodology support for auditors.
- Prepare center and payer analytics in a format that non-accountants can understand.
- Review a staff accountant’s and an offshore accountant’s work, including prepaid, accrual, intercompany, and cash reconciliations.
- Provide close backup as needed.
Benefits
- Standard benefits package.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
