Accountant I

Health and Life Organization, Inc. dba Sacramento Community Clinic; Sacramento (CA); On-site; USD 60,000 - 82,000; Full time

Job summary

Health and Life Organization, Inc. dba Sacramento Community Clinic is seeking an Accountant I to manage patient revenue and accounts receivable, ensuring accurate revenue recognition and smooth cash application across outpatient services.

You will monitor AR by provider and location, prepare journal entries, and collaborate with billing teams to resolve denials, underpayments, and discrepancies while supporting reporting improvements.

Qualifications

• Bachelor’s degree in Accounting is required.
• 2–5+ years of accounting experience, healthcare revenue cycle/AR preferred.
• Accounting experience in an FQHC setting is preferred.

Responsibilities

• Record and reconcile professional revenue in accordance with GAAP and healthcare standards.
• Monitor AR aging by provider, clinic location, and payer.
• Prepare journal entries related to revenue, allowances, and AR.
• Collaborate with billing teams to resolve denials, underpayments, and discrepancies.
• Reconcile billing system activity to the general ledger and maintain audit documentation.
• Ensure CMS rules and payer contracts compliance and support regulatory readiness.

Skills

Analytical skills

Attention to detail

Multisite coordination

Communication skills

Data interpretation

Education

Bachelor’s degree in Accounting

Tools

Sage Intacct

Excel (Advanced)

EMR/Practice management systems

Job description

Description

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.
• Manage 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

The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.

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.