Senior Accountant & Revenue Cycle Specialist (Healthcare/QuickBooks Online)

Job Description

Job Description

Position Overview:

We are seeking a highly skilled and detail-oriented Accounting & Accounts Receivable Specialist to take full ownership of our accounting function within a growing pediatric healthcare practice.

This is a hands-on role responsible for managing the general ledger, P&L, balance sheet, bank reconciliations, and QuickBooks Online (QBO), while also overseeing critical accounts receivable functions, including insurance payment posting, remittance processing, and credit balance management.

The ideal candidate is a strong accountant first, with proven experience maintaining accurate financials and producing reliable reports, along with a working knowledge of healthcare AR processes.

This role partners closely with the President and Executive Director of Business Operations and plays a key role in ensuring financial accuracy, improving processes, and supporting strategic decision-making.

Employment Type:

• Full-Time (40 hours/week).
• Hybrid flexibility available based on experience and performance.

Key Responsibilities:

Accounting (Primary Focus – Full Ownership):

• Maintain full responsibility for general ledger accounting in QuickBooks Online (QBO).
• Prepare and analyze monthly, quarterly, and annual financial statements (P&L, Balance Sheet).
• Perform monthly bank and account reconciliations.
• Ensure accuracy, completeness, and timeliness of all financial data.
• Support budgeting, forecasting, and variance analysis.
• Maintain strong internal controls and compliance with financial policies.

Accounts Receivable & Revenue Cycle:

• Post insurance and patient payments (ERAs/EOBs) accurately and efficiently.
• Reconcile payments and investigate discrepancies.
• Manage and resolve credit balances and overpayments.
• Assist with monitoring AR aging and revenue cycle performance.
• Ensure adherence to payer guidelines and billing accuracy.

Operations & Process Improvement:

• Identify and implement process improvements across accounting and AR workflows.
• Optimize use of QuickBooks Online and internal systems.
• Support purchasing and expense tracking as needed.
• Collaborate with leadership to improve financial visibility and operational efficiency.
• Highly organized with ability to manage multiple priorities
• Process-driven with continuous improvement mindset
• Excellent communication and collaboration skills
• High integrity and confidentiality.

Required Qualifications:

• Highly organized with ability to manage multiple priorities.
• Process-driven with continuous improvement mindset.
• Excellent communication and collaboration skills.
• High integrity and confidentiality.

• 3+ years of full-cycle accounting experience (general ledger, P&L, balance sheet).
• Strong expertise in QuickBooks Online (QBO).
• Proven experience with:
  • Bank and account reconciliations.
  • Financial reporting and analysis.
• Experience with accounts receivable and payment posting.
• Advanced proficiency in Excel.
• Strong attention to detail and analytical skills.

Preferred:

• Experience in a healthcare, medical, or therapy practice.
• Knowledge of:
  • Insurance payment posting (ERA/EOB).
  • Credit balance management.
  • Revenue cycle workflows.
• Experience working in a small to mid-sized organization with full ownership of accounting.

Core Competencies:

• Strong accounting foundation and financial accuracy.
• Highly organized with ability to manage multiple priorities.
• Process-driven with continuous improvement mindset.
• Excellent communication and collaboration skills.
• High integrity and confidentiality.

Why Join Us?

• Mission-driven organization serving children and families.
• Collaborative leadership team with direct impact on decisions.
• Growth potential as the organization expands.
• Stable, purpose-driven healthcare environment.

Please visit our website at and our social media pages for additional information about the company.