Accountant I

Health And Life Organization; Sacramento (CA); On-site; USD 45,000 - 50,000; Full time

Job summary

Health And Life Organization in Sacramento, CA is seeking an Accountant I focused on revenue and accounts receivable within our outpatient and professional services teams. You will ensure accurate revenue recognition, support AR aging management, and partner with billing to resolve denials and underpayments, while maintaining compliance with GAAP and CMS guidelines.

The role requires a Bachelor’s degree in Accounting and 2–5+ years of healthcare accounting or revenue-cycle experience, with

Qualifications

• Bachelor’s degree in Accounting is required.
• 2–5+ years of accounting experience preferred; healthcare revenue cycle or AR experience in clinic/physician group is a plus.
• FQHC setting experience preferred.

Responsibilities

• Record and reconcile professional fee revenue in accordance with GAAP and healthcare accounting standards.
• Analyze revenue streams including office visits, procedures, ancillary services, and telehealth.
• Review contractual adjustments, payment variances, and reimbursement rates by payer.
• Prepare journal entries related to revenue, allowances, and provider-level adjustments.
• Monitor AR aging reports by provider, clinic location, and payer.
• Track key metrics such as Days in AR, denial rates, and net collection percentages.
• Manage daily cash collections and payment applications.
• Prepare journal entries related to accounts receivables and collections.
• Partner with billing teams to resolve denials, underpayments, and claim discrepancies.
• Support initiatives to improve collections and reduce bad debt.
• Reconcile billing system activity to the general ledger.
• Validate EMR/practice management system data.
• Maintain accurate audit documentation and resolve discrepancies.
• Ensure compliance with CMS rules, payer contracts, and clinic billing regulations.

Skills

Analytical skills

Attention to detail

Multitasking

Communication skills

Data interpretation

Education

Bachelor’s degree in Accounting

Tools

Sage Intacct

EMR systems

Excel (Advanced)

Job description

Job Details

Job Location: Sacramento, CA 95827
Position Type: Full Time
Education Level: Assoicate Degree
Salary Range: $33.00 - $36.00 Hourly
Travel Percentage: None
Job Shift: Day
Job Category: Accounting/Finance

Position Summary

This Accountant I position specializing in Revenue and Accounts Receivables will be responsible for managing patient revenue, monitoring accounts receivable (AR), and supporting the financial health of outpatient and professional services. This role ensures accurate revenue recognition, supports efficient collections and applications and collaborates closely with revenue cycle teams to optimize collections and reporting across providers and locations.

Key Responsibilities

• Record and reconcile professional fee revenue in accordance with GAAP and healthcare accounting standards.
• Analyze revenue streams including office visits, procedures, ancillary services, and telehealth.
• Review contractual adjustments, payment variances, and reimbursement rates by payer.
• Prepare journal entries related to revenue, allowances, and provider-level adjustments.
• Monitor AR aging reports by provider, clinic location, and payer.
• Track key metrics such as Days in AR, denial rates, and net collection percentages.
• Manages daily cash (debit and credit card) collections and payment applications.
• Prepare journal entries related to accounts receivables and collections.
• Partner with billing teams to resolve denials, underpayments, and claim discrepancies.
• Support initiatives to improve collections and reduce bad debt.
• Reconcile billing system activity to the general ledger.
• Validate EMR/practice management system data.
• Maintain accurate audit documentation and resolve discrepancies.
• Ensure compliance with CMS rules, payer contracts, and clinic billing regulations.
• Support audits and maintain regulatory readiness.
• Stay current with healthcare reimbursement changes (telehealth, value-based care).

Qualifications

Education & Experience

• Bachelor’s degree in Accounting.
• 2–5+ years of accounting experience preferred; healthcare revenue cycle, or AR experience (clinic/physician group preferred).
• Accounting experience for an FQHC setting preferred.

Technical Skills

• Advanced Excel skills (pivot tables, XLOOKUP, data analysis).
• Experience with Accounting Program (Sage Intacct) and EMR/practice management systems.
• Understanding of GAAP and healthcare revenue recognition.

Core Competencies

• Strong analytical and critical-thinking skills
• High attention to detail
• Ability to manage multiple providers and locations
• Strong communication and teamwork skills
• Ability to translate financial data into actionable insights