Senior Accountant

Role Overview

• Own complex reconciliations involving claims data from multiple systems (billing platforms, claims databases, payor reports, and GL).
• Validate completeness and accuracy of claims files prior to revenue recognition and/or client reporting.
• Investigate discrepancies between operational claims data and financial system outputs; identify root causes and drive resolution.
• Develop and maintain reconciliation templates and processes as the business, systems, and payor relationships evolve.
• Work closely with claims operations, billing, and revenue cycle teams to ensure upstream data integrity.
• Perform deep dive analysis on claims variances, aging, denials, and adjustments to support decision making.
• Clearly communicate findings to both finance and nonfinance stakeholders—including claims operations, client-facing teams, and leadership.
• Provide ongoing insight into claims trends, anomalies, and system issues.
• Prepare and review month-end journal entries and reconciliations related to claims activity, revenue, AR, accruals, and other assigned accounts.
• Support the monthly close calendar and ensure claims related journal entries are completed accurately and on time.
• Assist with preparation of internal financial reporting packages as needed.
• Partner with cross-functional teams to understand how operational changes impact claims accounting.
• Support onboarding of newly acquired providers/entities, including mapping of claims data and integrating claims related processes.
• Assist with ad hoc reporting requests tied to claims, client deliverables, or operational performance.
• Identify and implement improvements to streamline claims reconciliations and enhance data integrity.
• Strengthen internal controls around claims data flow, reconciliation, and reporting.
• Support system enhancements or implementations impacting claims or billing workflows.
• Maintain proper documentation for reconciliations and claims related accounting processes.

Requirements

• Bachelor’s degree in Accounting or Finance required; CPA or CPA-track preferred.
• Big 4 Experience highly preferred
• Strong analytical and investigative mindset with proven ability to reconcile complex datasets.
• Experience working with EHR, billing, or claims systems (e.g., Athena, NextGen, Epic, eClinicalWorks, or similar) is a plus.
• Advanced Excel skills; comfort working with large datasets is essential.
• Ability to function effectively in a fast-paced, PE-backed environment with shifting priorities.
• Excellent communication skills—able to explain technical accounting findings to non-technical audiences.
• High attention to detail, strong organizational skills, and a sense of ownership.

Benefits

• Sponsor CPA exam costs for eligible candidates
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short & Long Term Disability
• Life Insurance
• 401k with company match
• Paid Time Off
• Paid Parental Leave