Senior Accountant - Revenue and Reporting

Washington Hospital; Fremont (CA); On-site; USD 92,000 - 133,000; Full time

Job summary

Washington Hospital is seeking a Finance Analyst to manage healthcare revenue processes and detailed financial analysis. The role focuses on net patient service revenue, contractual allowances, and periodic journal entries.

You will collaborate with Revenue Cycle and Finance teams to ensure accurate reporting and compliance with regulatory requirements. The position requires 3+ years in accounting/financial analysis, healthcare experience preferred, and advanced Excel capabilities.

Qualifications

• Bachelor's degree in Accounting, Finance, or related field required.
• CPA certification or progress toward CPA preferred.
• Minimum of three (3) years of accounting or financial analysis experience required.
• Public accounting experience preferred.
• Prior healthcare accounting, reimbursement, hospital finance, or revenue cycle experience strongly preferred.
• Knowledge of hospital reimbursement methodologies, contractual allowances, and net revenue accounting preferred.
• Strong analytical and problem-solving skills with attention to detail and accuracy.
• Ability to interpret financial data and communicate findings effectively.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Strong written and verbal communication skills.
• Ability to work independently and collaboratively across departments.
• Advanced Microsoft Excel skills, including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data analysis.

Responsibilities

• Analyze monthly net patient service revenue, perform contractual allowance calculations, and prepare monthly revenue net down journal entries.
• Perform revenue analysis and provide explanations for monthly and year-to-date budget-to-actual variances.
• Assist with maintaining and updating contractual allowance models and revenue reserve methodologies on monthly basis.
• Collaborate with Revenue Cycle and Finance teams to investigate reimbursement and payment issues.
• Reconcile general ledger accounts, including patient accounts receivable reserves, contractual allowances, and other revenue-related accounts.
• Prepare monthly financial reports, schedules, and supporting workpapers for management review.
• Maintain monthly reconciliations between the EPIC accounts receivable subledger and the General Ledger, investigate and resolve variances.
• Assist in the preparation of annual audit schedules and respond to auditor requests.
• Prepare and coordinate Medicare and Medicaid cost report supporting schedules.
• Assist with the preparation and review of regulatory reports, including HCAI reports and other reimbursement filings.
• Support reimbursement audits, desk reviews, and governmental agency inquiries.

Skills

Financial analysis

Excel (advanced)

Communication skills

Cross-functional collaboration

Attention to detail

Education

Bachelor's degree in Accounting, Finance, or related field

CPA certification or progress toward CPA

Job description

Salary Range: $92,000.00 - $133,000.00

Duties and Responsibilities:

• 1. Analyze monthly net patient service revenue, perform contractual allowance calculations, and prepare monthly revenue net down journal entries.
• 2. Perform revenue analysis and provide explanations for monthly and year-to-date budget-to-actual variances.
• 3. Assist with maintaining and updating contractual allowance models and revenue reserve methodologies on monthly basis.
• 4. Collaborate with Revenue Cycle and Finance teams to investigate reimbursement and payment issues.
• 5. Reconcile general ledger accounts, including patient accounts receivable reserves, contractual allowances, and other revenue-related accounts.
• 6. Prepare monthly financial reports, schedules, and supporting workpapers for management review.
• 7. Maintain monthly reconciliations between the EPIC accounts receivable subledger and the General Ledger, investigate and resolve variances.
• 8. Assist in the preparation of annual audit schedules and respond to auditor requests.
• 9. Prepare and coordinate Medicare and Medicaid cost report supporting schedules.
• 10. Assist with the preparation and review of regulatory reports, including HCAI reports and other reimbursement filings.
• 11. Support reimbursement audits, desk reviews, and governmental agency inquiries.

Professionalism:

• 1. Positive “can do” attitude”
• 2. Ability to relate pleasantly to co-workers and work as a team player
• 3. Flexible attitude to allow for cross-training in other areas
• 4. Excellent verbal and written communication skills
• 5. Demonstrates good judgment when communicating with departmental and external stakeholders by modifying delivery and complexity of information based upon their needs
• 6. Excellent attendance and punctuality required
• 7. Ability to take direction
• 8. Maintain confidentiality of sensitive information

Qualifications:

Education:

• 1. Bachelor's degree in Accounting, Finance, or related field required.
• 2. CPA certification or progress toward CPA preferred.

Experience:

1. Minimum of three (3) years of accounting or financial analysis experience required.
2. Public accounting experience preferred.
3. Prior healthcare accounting, reimbursement, hospital finance, or revenue cycle experience strongly preferred.

Knowledge, Skills, and Abilities:

• 1. Knowledge of hospital reimbursement methodologies, contractual allowances, and net revenue accounting preferred.
• 2. Strong analytical and problem-solving skills with attention to detail and accuracy.
• 3. Ability to interpret financial data and communicate findings effectively.
• 4. Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• 5. Strong written and verbal communication skills.
• 6. Ability to work independently and collaboratively across departments.
• 7. Advanced Microsoft Excel skills, including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data analysis.