Accounting Specialist - AR

ABOUT LLCHC 

Lower Lights Christian Health Center (LLCHC) transforms the overall health of Central Ohio, serving one individual at a time. We are focused on whole-person wellness, available to ALL in Central Ohio who need it, regardless of ability to pay!  We served over 15,000 patients - with 40% being uninsured - and totaled 50,000+ medical encounters!

Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more. Working hours are Monday - Friday with occasional Saturday morning coverage. 

JOB SUMMARY

The Accounting Specialist (Accounts Receivable & Revenue Accounting) is responsible for supporting the accuracy, integrity, and reconciliation of patient service revenue and accounts receivable. This role works closely with the Revenue Cycle Management (RCM) team, Pharmacy operations, and Financial Analysts to ensure alignment between billing systems, operational data, and the general ledger. 
The position plays a key role in monitoring receivables, analyzing variances, and supporting month-end close, while ensuring compliance within a Federally Qualified Health Center (FQHC) environment. 

ESSENTIAL JOB RESPONSIBILITIES:  

Accounts Receivable & Revenue (Primary Focus) 

• Reconcile patient accounts receivable between EHR systems (e.g., EPIC) and the general ledger 

• Monitor A/R aging and investigate variances, trends, and unusual balances 

• Analyze cash postings, adjustments, and write-offs for accuracy and completeness 

• Partner with the Revenue Cycle Management team to resolve discrepancies in billing, collections, and denials 

• Track and reconcile third-party payer activity and patient payments 

• Support reconciliation of pharmacy and 340B-related revenue streams 

• Ensure accurate recording of revenue in accordance with GAAP and organizational policies 

General Accounting & Financial Support 

• Prepare journal entries related to revenue, receivables, and cash 

• Perform monthly account reconciliations 

• Assist with month-end and year-end close 

• Support financial reporting and variance analysis 

• Maintain general ledger accuracy 

Financial Analysis & Reporting Collaboration 

• Work closely with Financial Analysts to validate revenue data and reporting outputs 

• Support development of revenue and A/R dashboards 

Revenue Cycle & Cross-Functional Collaboration 

• Serve as liaison between Finance, Financial Analysts, and RCM 

• Support alignment between billing activity and financial reporting 

• Collaborate with Pharmacy and Finance teams 

• Identify workflow gaps impacting revenue and collections 

Compliance & Controls 

• Ensure adherence to internal controls 

• Support audit requests and documentation 

• Maintain compliance with FQHC regulatory requirements 

• Monitor controls over billing-to-cash processes 

Process Improvement & Systems 

• Improve A/R reconciliation and reporting processes 

• Support system enhancements and data integrity 

Other Duties 

• Participate in special projects 

• Perform other duties as assigned 

BENEFITS AND PERKS

• Health benefits including medical, vision, dental, life, disability 
• Generous Paid Time Off 
• 10 Paid Holidays
• Student loan forgiveness opportunities
• Employee Assistance Program (EAP) with access to various consultants 
• 3% match toward retirement fund 
• And more!

LIVING OUR VALUES

You are mission-oriented and passionate about living out your purpose. You play an active role in responding to the needs of the community and organization. You work well alongside your teammates and use your time and resources effectively. You challenge yourself to grow personally and professionally. You embrace diversity and enjoy providing your customers with excellent treatment and compassion. 

Education & Qualifications:   

• Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred 

• 2–4 years of accounting experience with A/R or revenue focus 

• Healthcare or nonprofit experience preferred 

• Experience with EPIC (or similar EHR), NetSuite, and Excel 

• Understanding of GAAP 

• Strong analytical and organizational skills 

Skills & Competencies  

• Analytical Thinking 

• Attention to Detail 

• Collaboration 

• Accountability 

• Continuous Improvement