Project Accountant - Junior

Rotech Healthcare; Orlando (FL); On-site; USD 90,000 - 120,000; Full time

Job summary

Rotech Healthcare is seeking a Senior Accountant with revenue accounting experience to support revenue recognition, financial reporting, reimbursement analysis, and month-end close processes for various payer streams in home healthcare.

The role partners with Revenue Cycle, Billing, and Operations to analyze revenue trends, maintain accounting compliance, and enhance internal controls. The ideal candidate has strong technical accounting knowledge and proactive process improvement experience.

Qualifications

• Bachelor's degree in Accounting or Finance required.
• Minimum of five years of progressive accounting experience.
• Minimum of three years of revenue accounting experience.
• Experience with healthcare reimbursement, revenue cycle accounting, or related financial reporting.
• Advanced Microsoft Excel skills including pivot tables, lookups, and data analysis.
• CPA designation preferred.
• Public Accounting experience preferred.
• Experience in healthcare, home healthcare, DME, respiratory services, medical billing, or reimbursement environments strongly preferred.

Responsibilities

• Perform monthly revenue accounting close procedures, including journal entries, reconciliations, accruals, and financial analyses.
• Prepare and review revenue-related balance sheet reconciliations and investigate reconciling items.
• Monitor revenue recognition for recurring rentals, equipment sales, service revenue, and reimbursement activities.
• Support monthly, quarterly, and annual financial reporting requirements.
• Assist with audit schedules and support external and internal audits.
• Analyze Medicare, Medicaid, commercial insurance, Veterans Affairs, and patient-pay revenue streams for accuracy.

Skills

Advanced Excel

Pivot tables

Data analysis

Education

Bachelor's degree in Accounting or Finance

Tools

ERP systems

Financial reporting software

Data analytics tools

Job description

Join a Leader in Home Healthcare

At Rotech Healthcare Inc ., we’re more than a medical equipment provider—we’re a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives.

Rotech Healthcare is seeking an experienced Senior Accountant, with Revenue Accounting experience to support the Company's revenue recognition, financial reporting, reimbursement analysis, and month-end close processes. This position plays a critical role in ensuring the integrity of revenue reporting across Medicare, Medicaid, commercial insurance, Veterans Affairs, and patient-pay revenue streams associated with durable medical equipment (DME), respiratory therapy, sleep therapy, and other home healthcare services.

The Senior Accountant will partner closely with Revenue Cycle, Billing, Collections, Operations, Reimbursement, and Finance teams to analyze revenue trends, maintain accounting compliance, enhance financial controls, and support strategic business initiatives. The ideal candidate will possess strong technical accounting knowledge, healthcare reimbursement experience, and a proactive approach to process improvement.

Essential Duties And Responsibilities

Revenue Accounting & Financial Reporting

• Perform monthly revenue accounting close procedures, including journal entries, reconciliations, accruals, and financial analyses.
• Prepare and review revenue-related balance sheet reconciliations and investigate reconciling items.
• GAAP and company accounting policies.
• Monitor revenue recognition associated with recurring rentals, equipment sales, service revenue, and healthcare reimbursement activities.
• Support monthly, quarterly, and annual financial reporting requirements.
• Assist with the preparation of audit schedules and support external and internal audits.

Healthcare Revenue & Reimbursement Analysis

• Analyze Medicare, Medicaid, commercial insurance, Veterans Affairs, and patient-pay revenue streams for accuracy and completeness.
• Review reimbursement, contractual adjustments, denials, write-offs, and revenue trends.
• Partner with Revenue Cycle Management, Billing, and Collections teams to identify and resolve revenue discrepancies.
• Evaluate reimbursement changes and assess financial impacts to revenue recognition and reporting.
• Support gross-to-net revenue analyses and related reporting.

Internal Controls & Process Improvement

• Develop and maintain documentation for revenue accounting procedures and internal controls.
• Identify opportunities to improve accounting processes, reporting automation, and operational efficiencies.
• Participate in ERP, billing system, and financial reporting system implementations and enhancements.
• Ensure compliance with company policies, accounting standards, and regulatory requirements.
• Prepare financial models, trend analyses, and management reports related to revenue performance.
• Assist leadership with budgeting, forecasting, and variance analyses.
• Collaborate with Operations leadership to explain revenue performance and reimbursement trends.
• Support acquisition integrations, special projects, and strategic initiatives.
• Review and provide guidance to staff accountants as needed.
• Serve as a key resource for accounting and revenue-related questions.
• Foster strong working relationships across Finance, Billing, Revenue Cycle, Operations, and IT teams.
• Compliance with healthcare facility credentialing process ( when applicable for the position ).

Qualifications

• Bachelor's degree in Accounting or Finance.

Minimum Experience

• Minimum of five (5) years of progressive accounting experience.
• Minimum of three (3) years of revenue accounting experience.
• Experience with healthcare reimbursement, revenue cycle accounting, or related financial reporting.
• Advanced Microsoft Excel skills including pivot tables, lookups, and data analysis.
• CPA designation preferred.
• Public Accounting Experience Preferred.
• Experience in healthcare, home healthcare, DME, respiratory services, medical billing, or reimbursement environments strongly preferred.
• Experience with ERP systems, financial reporting software, and data analytics tools.
• Strong understanding of healthcare revenue recognition and reimbursement methodologies.
• Knowledge of Medicare, Medicaid, commercial insurance, and patient-pay billing concepts.
• Ability to work with large datasets and identify trends, risks, and opportunities.

Key Performance Expectations

• Timely reconciliation and resolution of revenue-related variances.
• Improved visibility into reimbursement and revenue trends.
• Strong audit compliance and internal control execution.
• Identification and implementation of process improvements that enhance efficiency and reporting accuracy.