Revenue Integrity Accountant

Full-time

Description

The Revenue Accountant is a hands-on individual contributor who connects Finance and Revenue Cycle Management to help ensure patient revenue, cash collections, adjustments, and accounts receivable activity are accurately reflected in Sage Intacct and supporting financial reports. This role prepares revenue reconciliations, researches discrepancies, validates back-end revenue data and system interfaces, and supports assigned month-end close activities related to revenue and cash.

The position collaborates closely with the Controller, Accounting, Revenue Cycle, Billing, Operations, and external partners. It is designed as an experienced specialist role with strong reconciliation and healthcare revenue cycle responsibilities. The role does not supervise or review the work of other accountants and is not positioned above the Accountant II.

Requirements

Revenue Reconciliation & Accounting Support

• Reconcile revenue, cash collections, accounts receivable activity, adjustments, refunds, credits, and write-offs between Athena, bank activity, Sage Intacct, and other supporting reports.

• Prepare weekly, and monthly revenue reconciliation schedules with clear documentation of source data, variances, and outstanding items.

• Research differences between billing activity, deposits, remittance information, and general ledger postings; coordinate timely correction or escalation.

• Validate that revenue-related data imports, mappings, and system interfaces are complete and posting to the appropriate entity, location, department, provider, and general ledger account.

• Prepare or support revenue-related journal entries, reclasses, accruals, and other assigned month-end close entries for Controller review.

• Maintain assigned revenue and accounts receivable schedules and ensure supporting detail aligns with the general ledger.

Revenue Cycle Management & Revenue Integrity

• Partner with RCM and Billing teams to understand charges, payments, denials, contractual adjustments, administrative adjustments, refunds, unapplied cash, credit balances, and other revenue-cycle activity.

• Monitor reconciliation exceptions and unusual trends, including missing transactions, duplicate postings, delayed interfaces, mapping errors, unexplained adjustments, and out-of-balance reports.

• Assist with validation of payer, provider, practice, location, and service-level revenue reporting used by Finance and operational leadership.

• Support reconciliation of deposits to payment posting and identify timing differences or transactions requiring follow-up.

• Help maintain consistent adjustment and write-off classifications and supporting documentation in coordination with RCM and Finance.

• Collaborate with RCM and operational stakeholders to resolve root causes rather than only clearing individual reconciling items.

Month-End Close, Reporting & Analysis

• Complete assigned revenue, cash, and accounts receivable close tasks within established deadlines.

• Prepare recurring revenue reports, roll forwards, trend analyses, and supporting schedules for review by the Controller and Accounting team.

• Assist with variance analysis by identifying drivers of revenue, collection, adjustment, and accounts receivable fluctuations.

• Provide organized support for audit, tax, compliance, and external reporting requests related to assigned revenue processes.

• Support provider-, practice-, department-, or location-level analyses as assigned.

Systems, Controls & Process Improvement

• Support testing, validation, troubleshooting, and stabilization of revenue workflows involving Sage Intacct, Athena, banking platforms, and related systems.

• Document reconciliation procedures, data sources, report parameters, mapping logic, handoffs, and escalation paths.

• Identify control gaps, recurring reconciliation issues, and opportunities to reduce manual work while preserving appropriate review and validation.

• Maintain complete, organized, and audit-ready documentation for assigned processes.

• Communicate issues, financial impact, research completed, and recommended next steps clearly to the Controller and relevant stakeholders.

Education and Experience

• Associate degree in Accounting, Finance, Business, Healthcare Administration, or a related field preferred; equivalent healthcare revenue cycle, billing, reconciliation, or accounting experience may substitute for formal education.

• Three or more years of relevant experience in healthcare revenue cycle, medical billing, reimbursement, accounts receivable, revenue accounting, or financial reconciliation preferred.

• Demonstrated experience reconciling data across multiple systems and researching variances to resolution.

• Working knowledge of accounting fundamentals, including revenue, cash, accounts receivable, journal entries, and general ledger tie-outs.

• Healthcare or multi-entity experience strongly preferred.

• Athena reporting or practice-management-system experience strongly preferred.

• Sage Intacct or other ERP experience preferred.

• Intermediate to advanced Excel skills, including experience working with large data sets, lookups, pivot tables, and reconciliation schedules.

• Bachelor’s degree and CPA certification are not required.

Key Competencies

• Strong reconciliation, analytical, and problem-solving skills.

• High attention to detail and commitment to accurate, well-supported work.

• Ability to understand both operational revenue-cycle activity and its financial reporting impact.

• Clear written and verbal communication with the ability to explain discrepancies and required follow-up.

• Collaborative, service-oriented approach across Finance, RCM, Billing, Operations, and external partners.

• Ability to manage recurring deadlines, prioritize exceptions, and escalate risks promptly.

• Willingness to learn, document processes, and help strengthen evolving systems and workflows.

Physical Requirements

Work Environment

• Primarily operates in a professional office and/or clinical administrative environment.

• May require occasional travel between corporate offices and clinical sites based on organizational needs.

• Work may involve additional hours based on month-end close, audit requests, system implementation needs, or organizational priorities.

Physical Demands

• Prolonged periods of sitting at a desk and working on a computer.

• Frequent use of hands and fingers for typing, operating office equipment, and using technology systems.

• Ability to communicate effectively in person, virtually, and by phone.

• Occasional standing, walking, bending, or reaching within office or clinical environments.

• Ability to lift and carry light items, typically up to 15–25 pounds, such as laptops, documents, or office materials.