Junior Accountant
EMERALD IV THERAPY LLC
POSITION OVERVIEWWe are seeking a detail-oriented Accountant with demonstrated experience in multi-system revenue environments to join our Finance team. The primary mandate of this role is to own the end-to-end reconciliation between our clinical billing platform and our accounting system (Sage), ensuring management holds a real-time, audit-ready view of revenue and accounts receivable at all times.This position will operate at the intersection of healthcare billing operations and financial reporting. The successful candidate will be the primary point of accountability for Accounts Receivable accuracy, system discrepancy resolution, and weekly management reporting, with direct exposure to senior leadership.OPERATING ENVIRONMENTThis role operates within a dual-system architecture common to healthcare professional services:System / PlatformFunctioneClinicalWorks (eCW)Patient billing, charge capture, insurance claims, AR aging – source of truth for clinical revenueSage (Accounting System)General ledger, financial statements, period-end reportingManual Bridge ProcessMonth-end journal entries posted; reconciliation gaps require investigation and resolutionReporting LayerWeekly AR and revenue summaries distributed to Analyst and Senior ManagementCORE RESPONSIBILITIESA. Revenue Recognition & Journal Entry PostingExtract and validate billing data (by entity, division, and payer) at month-endPrepare and post revenue recognition journal entries into Accounting System in accordance with applicable standardsReconcile eClinicalWorks reported revenue to Sage GL; document and resolve all variances with supporting evidenceMaintain an auditable revenue bridge file updated monthly, available on demand for audit and management reviewEnsure correct entity and divisional coding in the Accounting System for all revenue postingsB. Accounts Receivable ReconciliationPerform weekly and month-end reconciliation of AR balances between eCW and SageIdentify, categorize, and escalate AR discrepancies: timing differences, unposted claims, write-offs, unapplied payments, or system mapping errorsCoordinate with billing and collections teams to resolve aged items and claim denials impacting AR accuracyFlag AR items requiring write-down or reserve adjustment to the Senior Analyst for management reviewC. Management ReportingProduce and distribute a weekly AR and revenue summary report to the Financial Analyst and Senior ManagementReport content to include: gross billings, collections, net AR by aging bucket, reconciling items, and commentary on variances vs. prior week and budgetMaintain report templates and version control; ensure reports are delivered on schedule without follow-upProvide ad hoc analysis on revenue trends, collection efficiency, and payer mix as requestedD. Month-End Close SupportPrepare month-end AR, revenue accrual, and deferred revenue schedulesComplete assigned close tasks within the published close calendarPrepare supporting workpapers for external audit and internal reviewAssist in the preparation of working capital and AR continuity schedules for lender or investor reportingE. Systems & Process IntegrityDocument reconciliation procedures, escalation paths, and control checkpoints in a written SOPIdentify and escalate recurring system mapping issues between ECW and Sage to IT or operationsSupport any future system integration or automation initiatives as directed by Finance leadershipMaintain organized, clearly labelled electronic working papers with version controlQUALIFICATIONS & EXPERIENCEEducationBachelor's degree in Accounting, Finance, or a related field (required)Technical Experience1–3 years of accounting experience; healthcare, clinical services, or professional services environment strongly preferredHands-on experience with multi-system environments requiring manual reconciliation (e.g., billing platform + ERP/accounting system)Direct experience with eCW, Sage, or functionally equivalent systemsProficiency in Microsoft Excel: PivotTables, VLOOKUP/XLOOKUP, data validation, and structured reconciliation templatesWorking knowledge of revenue recognition under ASC 606; familiarity with insurance billing cycles, payer remittances, and claim denial logicSkills & CompetenciesSelf-directed and delivery oriented. capable of producing weekly reports without promptingClear written communication: comfortable preparing management-facing summaries that translate accounting detail into operational insightCollaborative; able to work across Finance, Billing, and Operations to resolve cross-functional discrepancies #J-18808-Ljbffr EMERALD IV THERAPY LLC
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