Senior Staff Accountant

Senior Revenue Accountant

The Senior Revenue Accountant will support the accounting and analysis of net patient revenue across multiple brands within the organization. This role will work closely with the Director of Revenue Accounting and Revenue leadership to maintain accurate revenue reporting, perform balance sheet analysis, develop supporting financial schedules, and investigate trends and variances.

This is a hybrid role with 3 days in office located in Louisville, Kentucky.

Responsibilities include:

• 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 the reasonableness of 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.

Qualifications include:

• Experience in using ERP systems, Oracle NetSuite experience preferred
• Advanced Excel skills
• Demonstrated knowledge of GAAP and 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
• Thrives in a fast-paced, constantly changing environment
• Ability to recognize when priorities need to shift

Education and Experience:

• Bachelor's degree in Accounting or Finance required
• 2-3 years of healthcare accounting or corporate accounting experience