Senior Accounts Receivable & Reconciliation Specialist
$80,000–$90,000 year
On-siteGlen Cove, New York, United States
Job Summary
Lead the full Accounts Receivable lifecycle, including invoicing support, collections, cash application, payment reconciliation, and customer account maintenance across enterprise healthcare partnerships and New York's Section 1115 Medicaid Waiver program. Manage high-volume payment reconciliation within a HIPAA-compliant environment, investigate unapplied cash and historical discrepancies, and reconcile the AR subledger to the General Ledger for month-end, quarter-end, and year-end close activities. Analyze large datasets using advanced Excel to identify trends and maintain reconciliation schedules for leadership reporting. Support ERP implementation efforts, including system migration, testing, and process mapping, while collaborating with Billing and executive leadership to strengthen internal controls and improve AR processes.
Required Qualifications
- 7–10 years of progressive Accounts Receivable, Cash Applications, Collections, or Payment Reconciliation experience
- Advanced Microsoft Excel skills, including Pivot Tables, XLOOKUP/VLOOKUP, INDEX-MATCH, Power Query, SUMIFS, and large dataset analysis
- Demonstrated experience performing complex payment reconciliations and cleaning up historical Accounts Receivable balances
- Strong experience with QuickBooks Online
- Excellent analytical, investigative, and problem-solving skills
- High attention to detail with the ability to manage multiple priorities in a fast-paced environment
- Strong communication skills with experience working cross-functionally across finance, billing, and operations
- Ability to independently identify issues, develop solutions, and take ownership of projects
Desired Qualifications
- Experience supporting Medicaid, healthcare reimbursement, government-funded programs, or HIPAA-regulated environments
- Experience with ERP implementation or migration projects
- Experience with ERP platforms such as NetSuite, Microsoft Dynamics 365 Business Central, Sage Intacct, Oracle NetSuite, SAP, or Microsoft Dynamics GP
- Experience working in high-growth, multi-entity, or complex billing environments
- CPA, CMA, or other accounting certification (or actively pursuing certification) is a plus
- Experience mentoring or training junior accounting staff
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