Sr Accountant

Sr Accountant

Department: Accounting/Finance

Location: Texas residency required

Job Type: Remote

Summary: Monitors and maintains the General Ledger accounts and business transactions of the organization, applying the Generally Accepted Accounting Principles (GAAP) that include analytical work and thorough review of financial records. These duties include, but are not limited to, journal entries, account reconciliations, variance analysis of interim financial statements and ad/hoc reporting. Provides customer service for both internal and external customers, including training/instruction of general ledger usage for internal customers. Prepares monthly, quarterly, and annual Health System financial consolidations, eliminating entries and footnote and MD&A prep. Responsible for all investment, debt, and pension and retirement accounting, including preparation of related annual financial statements. Reviews and approves certain balance sheet reconciliations prepared by the staff accountant and may interface with external audit staff as needed. Supports Net Revenue Accounting through financial reporting, reconciliations, accounts receivable analysis, and Kodiak RCA revenue analytics. Identifies and explains trends and variances impacting net patient revenue, contractual allowances, and overall financial performance.

Responsibilities:

• Prepare and analyze net patient revenue reporting, including reserve methodology calculations, reconciliations, financial schedules, and Crowe Revenue Cycle Analytics (RCA) reporting.
• Partner with Revenue Integrity, Managed Care, Finance, and accounting teams to identify trends, investigate variances, support accurate reserve calculations, and ensure reliable financial reporting.
• Prepare monthly, quarterly and annual consolidated Health System financial statements, including schedules, footnotes and MD&A in accordance with generally accepted accounting principles.
• Prepare monthly eliminating entries for the Health System financials.
• Review, reconcile and prepare monthly entries related to investments and debt for the Health System.
• Prepare pension, benefit and single audit financial packages and audit schedules; coordinate information gathering from internal and external customers; and answer auditor inquiries.
• Prepare and post monthly journal entries according to established guidelines and timeframes.
• Perform monthly account variance analysis for balance sheet and income statement accounts for the financial review process and prepare and record adjusting entries as necessary.

How You'll Be Successful:

• WORK EXPERIENCE: At least 3 years related experience required
• At least 2 years Healthcare Industry experience required
• Strong experience with Net Patient Service Revenue (NPSR) required
• At least 2 years experience with Kodiak RCA preferred
• At least 2 years Intermediate to Advanced Knowledge of Excel functions preferred

• EDUCATION: Bachelors Degree required

• LICENSES AND CERTIFICATIONS: Certified Public Accountant preferred

A Place Where You Belong

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits How We'll Care for You:

Employee portion of medical plan premiums are covered after 3 years.

4%-10% employee savings plan match based on tenure

Paid Parental Leave (up to 12 weeks)

Caregiver Leave

Adoption and surrogacy reimbursement

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.

Children's Health System of Texas