Billing and Revenue Accountant

Summary/Objective The Billing and Revenue Accountant serves as the primary liaison between the Billing and Accounting departments. This position is responsible for quality control over billing and accounts receivable activity, ownership of the revenue and accounts receivable general ledger accounts, and ensuring that billing records, subledgers, and the general ledger are complete, accurate, and reconciled each month.

Essential Functions

Serve as the primary liaison between Billing and Accounting, coordinating the timely and accurate flow of billing, payment, adjustment, and reconciliation information. Perform quality control reviews of billing files, invoices, payment postings, adjustments, and account reconciliations before completion or submission. Maintain ownership of assigned revenue and accounts receivable general ledger accounts, including account activity, supporting schedules, and monthly reconciliations. Reconcile billing systems, accounts receivable reports, payer remittances, cash receipts, and other supporting records to the general ledger each month. Prepare and post monthly journal entries related to revenue, accounts receivable, cash application, accruals, deferred or unbilled revenue, contractual adjustments, and other billing activity as applicable. Research and resolve variances between billing records and the general ledger, partnering with Billing, Accounting, Treasury, program staff, and other departments as needed. Review accounts receivable aging, unapplied cash, credit balances, denials, recoupments, and other reconciling items; identify trends and coordinate timely resolution. Support the monthly and year-end close by completing reconciliations, variance analyses, journal entries, and supporting schedules within established deadlines. Develop and maintain revenue and accounts receivable reports that clearly explain balances, activity, trends, risks, and outstanding action items. Maintain documentation and internal controls for billing-to-general-ledger processes, and recommend improvements to strengthen accuracy, timeliness, and efficiency. Assist with the development, testing, and implementation of billing and accounting policies, procedures, system changes, and process improvements. Provide support for internal and external audits, payer reviews, and other requests related to revenue, accounts receivable, and billing activity. Provide training and guidance to Billing and Accounting staff on reconciliation requirements, documentation standards, and recurring issues. Maintain confidentiality and perform other financial, accounting, and billing responsibilities or special projects as assigned.

Competencies

Strong understanding of general ledger accounting, revenue recognition, accounts receivable, and reconciliation processes. High degree of attention to detail, organization, and accountability for accurate and timely deliverables. Strong analytical and problem-solving skills, including the ability to identify root causes and resolve discrepancies. Strong written and verbal communication skills, with the ability to work effectively across Billing, Accounting, and operational teams. Advanced Microsoft Excel skills, including experience working with large data sets, lookups, pivot tables, and reconciliation tools. Professional demeanor and ability to work independently while contributing as a collaborative team member. Ability to prioritize multiple deadlines and maintain complete, well-organized supporting documentation. Reliable and able to maintain confidentiality.

Required Education and Experience

A Bachelor’s degree in Accounting, Finance, Business, or a related field is required. A minimum of 3 years of accounting, billing, accounts receivable, or financial reconciliation experience in a dynamic environment is required. Experience reconciling subledger activity to the general ledger and preparing journal entries is required. Experience with ERP, billing, or claims processing systems is preferred.

Work Environment

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers, electronic filing system.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk and/or hear. The employee is frequently required to sit; use hands to finger, handle or feel; and reach with hands and arms.

Travel

Travel is not required for this position.

Other Duties Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.