Accountant (Pittsburgh)

Job Summary

The Accountant – Client Billing & Settlements is responsible for managing end-to-end client billing, account reconciliations, funding settlements, and accounts receivable activities. This non-traditional accounting role focuses heavily on client-level financial operations, including cash-to-vendor tracking, banking transactions, reconciliation of financial activity, and resolution of discrepancies. The position works cross-functionally with clients, Finance, Operations, and internal teams to maintain accurate financial records, support GAAP compliance, and improve accounting processes.

Key Responsibilities

• Manage end-to-end client billing processes, ensuring accuracy, timeliness, and compliance with contractual agreements.
• Perform billing reconciliations and funding settlements, identify and resolve discrepancies, and coordinate with internal and external stakeholders.
• Support accounts receivable activities, including invoicing, cash application, and collections follow-up.
• Perform client settlement activities, including cash-to-vendor tracking and banking transactions.
• Prepare and analyze account reconciliations, identify variances, and recommend corrective actions.
• Partner with clients and internal teams to resolve billing issues and disputes professionally and promptly.
• Maintain accurate financial records and ensure transactions are recorded in accordance with GAAP and company policies.
• Assist in developing and implementing accounting processes and workflows within a growing or evolving function.
• Identify and support process improvements that enhance the efficiency, accuracy, and scalability of accounting operations.
• Collaborate with Finance, Operations, and client-facing teams to maintain alignment and data integrity.
• Support audits by providing required documentation and explanations.

Minimum Education & Experience Requirements

Bachelor’s degree in Accounting, Finance, or a related field.

• 3–5+ years of relevant accounting experience.
• Experience with billing, accounts receivable, or financial operations.
• Strong understanding of GAAP and financial reporting practices.
• Experience analyzing financial data, identifying discrepancies, and resolving issues.
• Experience with accounting systems and ERP platforms such as SAP, Oracle, or NetSuite.
• Advanced Microsoft Excel skills.

Preferred Qualifications

• Healthcare Third-Party Administrator (TPA) experience.
• Experience with client-level reconciliations and/or settlements.
• Experience in insurance, billing operations, or accounting environments.
• Experience with process development or continuous improvement initiatives.

Special Requirements

No additional special requirements specified.

Knowledge, Skills, and Abilities

• Strong knowledge of GAAP and accounting principles.
• Client billing and accounts receivable knowledge.
• Account reconciliation and settlement skills.
• Cash application and collections knowledge.
• Financial data analysis and variance identification.
• Experience with ERP platforms such as SAP, Oracle, or NetSuite.
• Advanced Microsoft Excel skills.
• Strong attention to detail and accuracy.
• Ability to identify financial discrepancies and resolve issues efficiently.
• Strong written and verbal communication skills.
• Ability to communicate effectively with clients and cross-functional teams.
• Strong organizational and prioritization skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong problem-solving skills.

Additional Desired Characteristics

• Healthcare TPA experience.
• Client-level reconciliation and settlement experience.
• Experience with cash-to-vendor tracking and banking transactions.
• Familiarity with banking, treasury functions, or cash management.
• Experience developing or improving accounting processes within a growing or evolving function.

Other Duties

This job description is intended to describe the general nature and level of work performed in this position. It is not intended to be an exhaustive list of all responsibilities, duties, and qualifications. Additional duties may be assigned as business needs require.