Manager, Revenue Accounting
$93,000–$120,000 year
On-siteEast Syracuse, New York, United States
Job Summary
Enforce accounting policies and internal controls to ensure GAAP compliance for revenue recognition and patient accounting processes. Build and maintain allowance models segmented by payor class, reconcile them monthly to financials, and manage collection waterfall models tracking charges through write-offs with variance analysis. Prepare and review standard journal entries, balance sheet, and P&L reconciliations, escalating variances to the Director. Develop dashboards and trend reporting to monitor models and identify changes proactively. Illustrate accounting methods to leadership, operations, and clinicians; support external auditors by managing requests and preparing documentation. Maintain accurate mapping between practice management systems, data warehouses, and the general ledger.
Required Qualifications
- Proficient understanding of revenue recognition in accordance with company and accounting standards (e.g., ASC 606, CECL/ASC 310)
- Bachelor's degree in accounting or finance
- Experience within the healthcare or dental industry
- Experience with fee schedules, UCR rates, and how contractual rates flow into contractual and discretionary adjustments
- Experience with practice management systems and revenue cycle management processes
- 4-6 years of progressive accounting experience, with at least 1-2 years in a healthcare or dental revenue cycle environment
- Advanced proficiency in Microsoft Office, particularly Excel; ability to leverage data tools and technology to drive process improvements
- Proficiency with tools such as Power BI, Looker, Tableau, and SQL/databases
- Proven ability to operate with a high degree of autonomy, manage projects and competing priorities, and navigate ambiguity in a fast-paced environment
- Strong analytical, written, and verbal communication skills
- Must be able to lift 50 lbs
Desired Qualifications
- CPA preferred, as role will support interactions with external auditors
- Prior experience at a Big 4 or regional firm with healthcare clients is a differentiator
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