Senior Accountant - Revenue and Reporting

DeWinter BH; Iowa; Hybrid; USD 90,000 - 120,000; Full time

Job summary

DeWinter Group is seeking a Senior Accountant – Revenue & Reporting in Fremont, CA. This hybrid, contract-to-hire role focuses on revenue accounting, financial reporting, reimbursement analysis, and regulatory activities.

Initial contract period expected at two to three months, with potential for longer-term engagement. The ideal candidate will have a Bachelor’s degree in Accounting and 3+ years in healthcare or public accounting, plus advanced Excel and strong analytical skills.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field.
• 3+ years of public accounting or healthcare/hospital accounting experience.
• Advanced Microsoft Excel proficiency (pivot tables, VLOOKUP/XLOOKUP, complex formulas).
• Strong analytical, problem-solving, and communication skills.
• Ability to manage priorities, meet deadlines in a fast-paced environment.

Responsibilities

• Analyze monthly net patient service revenue and calculate contractual allowances.
• Prepare revenue adjustment journal entries and explain variances.
• Maintain contractual allowance models and revenue reserve calculations.
• Collaborate with Revenue Cycle and Finance teams to resolve reimbursement discrepancies.
• Prepare monthly financial reports and supporting documentation for management.

Skills

Advanced Excel

Analytical thinking

Attention to detail

Communication skills

Time management

Education

Bachelor’s degree in Accounting

Tools

Workday Financials

Epic

Job description

Senior Accountant – Revenue & Reporting

Overview

A healthcare organization in Fremont, CA, is seeking a detail-oriented Senior Accountant – Revenue & Reporting to support revenue accounting, financial reporting, reimbursement analysis, and regulatory activities. This role will play an important part in analyzing net patient service revenue, maintaining contractual allowance and reserve calculations, reconciling patient accounts receivable activity, and preparing clear, accurate financial reporting for management review.

The ideal candidate brings strong accounting fundamentals, advanced Excel expertise, analytical judgment, and the ability to collaborate effectively with Revenue Cycle, Finance, audit, and regulatory teams. This is a hybrid, contract-to-hire opportunity with an anticipated initial contract period of two to three months.

Key Responsibilities

• Analyze monthly net patient service revenue, calculate contractual allowances, and prepare related revenue adjustment journal entries.
• Conduct revenue analysis and prepare explanations for monthly and year-to-date budget-to-actual variances.
• Assist with maintaining and refining contractual allowance models, revenue reserve calculations, and related accounting methodologies.
• Partner with Revenue Cycle and Finance teams to research and resolve reimbursement discrepancies, payment issues, and other revenue-related matters.
• Perform general ledger reconciliations, including patient accounts receivable reserves, contractual allowances, and other revenue-related accounts.
• Prepare monthly financial reports, account schedules, and supporting documentation for management review.
• Reconcile the Epic accounts receivable subledger to the general ledger on a monthly basis, researching and resolving discrepancies as needed.
• Support the annual financial audit process by preparing audit schedules, compiling supporting documentation, and responding to auditor inquiries.
• Prepare and coordinate supporting schedules for Medicare and Medicaid cost reports.
• Assist with regulatory filings, including HCAI reports and other reimbursement-related submissions.
• Provide support for reimbursement audits, desk reviews, and inquiries from governmental and regulatory agencies.
• Cross-train and provide support in other functional areas as needed.
• Maintain the confidentiality and integrity of sensitive financial and organizational information.

Required Skills and Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field.
• At least three years of public accounting experience or healthcare/hospital accounting experience.
• Advanced Microsoft Excel proficiency, including pivot tables, VLOOKUP/XLOOKUP, complex formulas, and data analysis.
• Strong analytical, problem-solving, and critical-thinking skills.
• Exceptional attention to detail and accuracy.
• Ability to analyze and interpret complex financial data and communicate findings clearly.
• Ability to manage competing priorities, meet deadlines, and adapt in a fast-paced environment.
• Excellent written and verbal communication skills.
• Ability to work independently while collaborating effectively with cross-functional teams.
• Positive, proactive, and solutions-oriented approach.
• Sound judgment when communicating with internal and external stakeholders.
• Consistent reliability, punctuality, and attendance.
• Ability to accept direction and feedback constructively while taking ownership of assigned responsibilities.

Nice-to-Have Skills

• Healthcare accounting, hospital finance, reimbursement, or revenue cycle experience.
• Familiarity with hospital reimbursement methodologies, contractual allowances, and net patient revenue accounting.
• Experience using Workday Financials and Epic.
• CPA certification or active progress toward CPA licensure.
• Experience supporting Medicare and Medicaid cost reports, HCAI reports, reimbursement audits, or regulatory reviews.
• Public accounting experience with healthcare clients.
• Experience preparing audit schedules and supporting annual financial audits.

Preferred Education and Experience

• Bachelor’s degree in Accounting, Finance, or a related discipline required.
• Three or more years of relevant public accounting or healthcare/hospital accounting experience required.
• Healthcare accounting, hospital reimbursement, and revenue reporting experience strongly preferred.
• CPA certification or progress toward CPA licensure preferred.

Other Requirements

• Work arrangement: Hybrid; onsite in Fremont, CA, three days per week.
• Employment type: Contract-to-hire, with an anticipated initial contract period of two to three months.
• Must be able to handle confidential financial and organizational information with discretion.
• Must communicate professionally and tailor the level of detail to both technical and nontechnical audiences.
• Must be willing to cross-train and provide support in other functional areas as needed.