AR / AP Accounting Specialist — Austin, TX

United Way of Greenville County; Wimberley (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

United Way of Greenville County in Austin, TX is seeking an AR / AP Accounting Specialist to manage patient and insurance receivables, vendor invoices, and reconciliation tasks within a healthcare setting.

The role covers month-end close, posting cash receipts, and reconciling QuickBooks Online with the billing system. Collaboration with the revenue cycle team is essential, along with HIPAA compliance and strong accounting fundamentals.

Qualifications

• Associate's degree or higher with relevant experience.
• 3+ years in AR/AP, bookkeeping or accounting.
• Healthcare environment experience.
• Proficiency in QuickBooks Online.
• Experience with RAMP expense management software.
• Experience supporting healthcare billing and receivable reconciliation.

Responsibilities

• Maintain and reconcile patient and insurance receivable balances.
• Post and reconcile cash receipts and deposits; investigate unapplied cash/adjustments.
• Review AR aging and assist with collections.
• Reconcile receivable activity between billing system and QuickBooks Online.
• Collaborate with revenue cycle team on billing, collections, adjustments, refunds and write-offs.
• Review, code and process vendor invoices; obtain approvals before payment.
• Process vendor payments by ACH, check and wire; maintain vendor records and W-9s.
• Manage employee expense reports and reconcile company cards.
• Prepare bank, credit card, AR and AP reconciliations; support month-end close.
• Prepare weekly and monthly receivable/collection summaries for management.
• Support external audits and financial reviews with documentation.

Skills

Accounts receivable

Accounts payable

Bookkeeping

Healthcare billing

Education

Associate's degree in accounting/finance/business

Bachelor's degree in accounting/finance/business (preferred)

Tools

QuickBooks Online

RAMP

Job description

AR / AP Accounting Specialist — Austin, TX View All Openings

I'm interested

Job ID: TX1013-21

Advertised Job Type: Permanent - Full-time regular employment

Work Type: On Site

Job Description

Both sides of the ledger for a group of behavioral health and recovery companies — patient and insurance receivables on one side, vendor invoices and card reconciliations on the other. The interesting part is the middle: making the billing system and QuickBooks agree, and finding out why when they do not.

The schedule

Full time, Monday to Friday, business hours.

Month-end and year-end close are the busy weeks — the rest of the month is steadier.

Based in Austin, working alongside the internal revenue cycle team.

What you will do

Maintain and reconcile patient and insurance receivable balances.

Post and reconcile cash receipts and deposits, and investigate unapplied cash, credits and adjustments.

Review accounts receivable aging and assist with collection efforts.

Reconcile receivable activity between the billing system and QuickBooks Online.

Work with the internal revenue cycle team on billing, collections, adjustments, refunds and write-offs.

Review, code and process vendor invoices, and confirm approval and support before payment.

Process vendor payments by ACH, check and wire, and keep vendor records and W-9s in order.

Manage employee expense reports and reimbursements through RAMP, and reconcile company cards.

Prepare bank, credit card, AR and AP reconciliations, and support month-end and year-end close.

Prepare weekly and monthly receivable and collection summaries for management.

Support external audits and financial reviews with documentation.

What you need

Required

Associate's degree in accounting, finance, business administration or a related field — equivalent experience considered instead.

Three or more years in accounts receivable, accounts payable, bookkeeping or accounting.

Experience working in a healthcare environment.

Proficiency in QuickBooks Online.

Experience using RAMP expense management software.

Experience supporting healthcare billing and receivable reconciliation.

Preferred, not required

Experience in behavioral health, substance use treatment, detox, residential treatment or healthcare services.

Familiarity with healthcare reimbursement, insurance receivables and patient accounting.

Understanding of HIPAA and healthcare confidentiality requirements.

Bachelor's degree in accounting, finance or business administration.

If you hold the credential and the rest is thin, apply anyway. The preferred list is what we would like, not a filter we run.

Where you would work

Austin — our Austin detox at 11711 N Lamar Blvd, Austin, TX 78753. A quiet clinical office setting on our own campus, with documentation tools, office space and a team on the floor at the weekend as well as midweek. On site, every shift.