Senior Accountant (Full-Time, Mon. - Fri.)

Connections Health Solutions; Tennessee; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Generous PTO 160 hours+

Company holidays

Job summary

Connections Health Solutions is seeking a Senior Accountant for a fully remote role across the United States. The position requires a Bachelor’s in Accounting/Finance and at least 3 years of related experience; CPA is preferred.

Strong Excel and general ledger system skills are expected, with healthcare financial experience highly regarded. You will oversee complex journal entries, monthly close, variances vs.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• Minimum 3 years of related accounting experience.
• CPA preferred or pursuing CPA; healthcare finance experience a plus.

Responsibilities

• Review monthly financial results vs. budget and provide variance analytics.
• Manage monthly market billing processes with timely invoicing per contracts and funding requirements.
• Monitor and maintain accounts receivable balances; conduct collection activities and aging analysis.
• Prepare and support grant-related financial reporting and documentation for compliance.
• Serve as accounting liaison for government agencies and funding partners; coordinate reporting requests.
• Collaborate with operations and government partners to ensure billing accuracy and revenue recognition.
• Coordinate with Revenue Cycle to ensure monthly revenue is correctly recorded and reconcile A/R.
• Reconcile balance sheet accounts and perform month-end close analyses.
• Provide support for annual financial statement audits and related inquiries.
• Maintain internal controls and data integrity across financial systems.

Skills

3 years of related work experience

Excel and Word proficiency

General ledger systems experience

Education

Bachelor's degree in Accounting, Finance or related field

CPA

Tools

Excel

Word

General Ledger Systems

Job description

We’re not just behavioral health people—we’re crisis people. Connections Health Solutions is a leading provider of immediate-access behavioral health crisis care. Our team combines medical and recovery-oriented treatment to stabilize individuals in crisis and connect them to community-based resources for ongoing recovery.

Founded by emergency room psychiatrists Dr. Robert Williamson, our model is physician-led and data-driven, drawing upon more than 15 years of crisis care expertise. Recognized by SAMHSA and the National Council for Mental Wellbeing as a national best practice, we’ve delivered invaluable treatment to hundreds of thousands of individuals facing crises. We embrace change and innovation, striving to find better ways to fulfill our mission.

We are on a mission to change the face of behavioral health. Help us save lives and make a difference.

The Senior Accountant assists in the preparation of financial statements and supporting documentation. This position is responsible for recording complex journal entry transactions, supporting the financial close, analyzing variances against budget, and reconciling balance sheet accounts. They perform complex, detailed, and disciplined work using standard methodologies in analysis, documentation, implementation and support of accounting and finance procedures. The Senior Accountant is detail oriented, analytical, organized, self-sufficient, and has excellent communication skills.

Responsibilities

• Review monthly financial results compared to budget and provide variance analytics.
• Manage the monthly market billing process, ensuring timely and accurate preparation, review, and distribution of invoices in accordance with contractual agreements and funding requirements.
• Monitor and maintain accounts receivable balances, including collection activities, customer follow-up, aging analysis, and resolution of billing discrepancies to support timely cash collections.
• Prepare, maintain, and support grant-related financial reporting and documentation, ensuring compliance with grant agreements, funding requirements, and applicable regulatory guidelines.
• Serve as the primary accounting liaison for government agencies and funding partners, responding to financial inquiries, coordinating reporting requests, and fostering strong working relationships with external stakeholders.
• Collaborate with operational and government partner teams to ensure accurate billing, revenue recognition, grant compliance, and timely resolution of financial matters impacting market operations.
• Coordinate with Revenue Cycle Department to ensure monthly revenue is accounted for correctly and maintain A/R reconciliations.
• Reconcile assigned balance sheet reconciliations in line with best practice and internal controls.
• Conducts all necessary analysis and research to facilitate month-end close.
• Provides information and assistance to facilitate the completion of annual financial statement audits.
• Maintains systems and controls that verify the integrity and accuracy of all financial systems, processes, and data.
• Is a resource to Staff Accountant for complex issues.
• Maintains strict confidentiality regarding all employee and financial information.

This is a fully remote position in these states:

Qualifications

• Bachelor's degree in Accounting, Finance or related field
• 3 years of related work experience
• Computer skills including Excel, Word, and general ledger systems
• The Company has a mandatory vaccination policy. CPA
• Healthcare finance experience

Benefits (Full-time only)

• Employees (and their families) are offered comprehensive health insurance, including Medical, Dental, Vision, Accident, Critical Illness, and Hospital Indemnity
• CHS pays for Basic Life, AD&D, Short and Long-Term Disability
• Voluntary Life insurance option for employees and their families
• Health Savings Accounts (with $1,000 to $2,000 employer contribution depending on plan)
• Flexible Spending Accounts (health care and dependent care)
• Generous PTO starting at 160 hours accrued annually and 12 recognized company holidays
• All employees (Pool, Part-time and Full-time):
• Employee Assistance Program to help with confidential emotional support, work life solutions, financial solutions, legal assistance, or online support
• After 90 days, you are auto enrolled in the 401k Plan

We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law.