Senior Revenue Accountant

Senior Revenue Accountant-(Revenue Cycle) Patient Financial Services- Corporate 42nd Street-Full-Time Days (Hybrid)

The Senior Revenue Accountant for the Mount Sinai Health System (MSHS) and the Icahn School of Medicine at Mount Sinai (ISMMS) (which includes the MSHS and the Faculty Practice Plan) is responsible for the integrity and accuracy of revenue recognition and A/R-related financial reporting and will partner closely with operations, billing, and financial planning and analysis to ensure GAAP compliant revenue processes and timely identification of risks and opportunities in revenue trends. This position will report to the Senior Director of Revenue.

This role will ensure the accurate recording, recognition, and reporting of hospital revenue, which includes focusing on the healthcare revenue cycle, patient billing, and maintaining compliance with U.S. GAAP and ASC 606 standards. Key responsibilities include preparing financial reports for internal and external stakeholders, collaborating with billing and operations teams to identify revenue risks and opportunities, assisting with audits, and supporting month-end close processes.

Responsibilities

• Manage end-to-end revenue recognition in accordance with GAAP, including ASC 606 compliance, including reviewing hospital contracts to ensure they comply with revenue recognition policies and provide guidance on the proper accounting treatment.
• Develop and maintain reports on revenue trends, highlight risks, and provide meaningful financial reporting to leadership and cross-functional teams.
• Coordinate, compile and analyze monthly financial data utilizing spreadsheet and database applications.
• Contribute to the design, implementation, and documentation of scalable revenue processes, processes, and controls.
• Analyze large data sets to validate underlying system configurations and financial reporting outputs.
• Support annual audit requests and provide documentation for revenue-related testing.
• Identify and implement process improvements, leveraging technology and automation to drive efficiency in revenue accounting operations.
• Lead revenue-related projects, coordinating cross-functional partners, tracking progress and delivering measurable business impact.
• Translate complex data into clear, actionable insights and develop, maintain and compile reporting tools that clearly communicate findings to diverse stakeholders.
• Assist revenue cycle leaders in working closely with organizational stakeholders to improve financial performance based on analytical findings.
• Support investigation into claims patterns, payor mix evaluation, and other strategic analytics to optimize payor performance.
• Develop analytical models that are well-documented containing advanced formulas and functions that are used to evaluate historical trends, forecast future expectations, or draw conclusions.
• Point person for revenue close including gross revenue and patient stat analysis and accounts receivable valuation calculations.
• Conduct complex analyses adhering to best practice standards by selecting appropriate data sources, developing assumptions, recognizing considerations, and establishing recommendations.
• Collaborate with cross-functional teams to define data requirements and ensure data accuracy and integrity.
• Identify opportunities for process improvement and efficiency through data analysis.
• Stay up to date with industry trends and best practices in data analysis.
• Resolve unreasonable results, suboptimal solutions, and data anomalies based on experience and professional judgment.
• Build effective, collaborative relationships with key stakeholders across departments.
• Resourceful in creating or fine-tuning the processes necessary to complete the work along with the ability to organize people and activities.
• Challenge existing norms or courses of action to facilitate fully informed decision-making. Help institute balanced decision-making by identifying risks and opportunities.
• Establish and maintain strong working relationships with revenue cycle leaders, key stakeholders, and foster a strong working relationship with key strategic partners.
• Create feedback loops and enhancement pipelines informed by stakeholders and data.
• Ensure compliance with all HIPAA privacy and security standards.
• Conform to the established policies/ procedures/ processes/ Standards of Behavior.
• Performs other duties as required by the Senior Director of Revenue.

Qualifications

Education

• Bachelor’s degree in accounting or finance. Masters degree preferred.

Experience

• 3+ years of recent and relevant accounting experience. Experience with ASC 606 Revenue Recognition. CPA and recent Big Four experience. Advanced MS Excel skills and experience
• Prior experience with revenue cycle, financial reporting, revenue recognition, analytics, and inferential statistics.
• Diverse experience of healthcare databases and data sources, preferably in a large academic healthcare setting.
• Possess prior Big 4 audit background and/or experience in high-growth environments.
• Build, maintain, and refine complex financial models to produce and present accurate, data-driven reports which analyze financial performance against budgets and forecasts, identifying trends, risks, and opportunities.
• Solid knowledge of business, financial, strategic concepts and emerging trends.
• Demonstrated ability to engage in positive, powerful persuasion with individuals or groups with diverse opinions and/ or agendas, leading to outcomes that meet identified goals.
• Excellent verbal and written communication and organizational abilities. Accuracy, attentiveness to detail and time management skills are required.
• Ability to interact effectively with multidisciplinary teams, including physicians and other clinical professionals internally and externally.
• The ability to maintain a high level of positive energy/ creativity during periods of elevated work demands.
• Ability to prioritize multiple objectives in a rapidly changing environment and deliver quality outcomes.
• Ability to develop and maintain effective relationships at all levels throughout the organization.

Working Conditions

• Corporate office environment in an academic health system.

About Us

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai's unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and