Senior Accountant (7568)

Job Summary:

The Senior Accountant is responsible for overseeing the organization's accounting operations, financial reporting, billing functions, and revenue cycle management activities. This position ensures the accuracy and integrity of financial records, manages accounts payable and receivable processes, oversees Medicaid and third-party payer billing, monitors reimbursement and collections, and supports budgeting, audits, and regulatory compliance. 

The Senior Accountant serves as a key finance leader and works collaboratively with program staff, vendors, funding agencies, and regulatory entities to ensure timely billing, accurate financial reporting, and effective revenue management. 

Essential Duties:

1. 1. Conducts self professionally with truth, accuracy, fairness, and responsibility.
   2. Upholds the organization’s Core Values and Code of Conduct, demonstrating these standards in daily practice. 
   3. Serves as a financial resource to leadership, managers, and external stakeholders. 
   4. Maintains confidentiality of financial, billing, payroll, and individual served information. 
   5. Evaluates and recommends improvements to accounting and billing processes.
   6. Ensures compliance with applicable accounting standards, payer requirements, and regulatory guidelines. 
   7. Acts as the agency's financial liaison with vendors and external partners. 
   8. Manages accounts payable, accounts receivable, and general accounting functions. 
   9. Performs monthly reconciliations of bank accounts and internal financial accounts. 
   10. Maintains the general ledger and posts journal entries, deposits, payroll entries, and other financial transactions. 
   11. Prepares monthly financial statements and supporting reports. 
   12. Assists with development and monitoring of agency budgets and cost center budgets. 
   13. Assists with annual audits and preparation of supporting schedules and documentation. 
   14. Maintains depreciation schedules and other financial records. 
   15. Oversees cash management activities and banking functions. 
   16. Submits required tax filings and reports, including fuel tax reports and other applicable filings. 
   17. Monitors agency receivables and cash collections. 
   18. Oversees billing operations for Medicaid Waiver (HCBS), traditional Medicaid, commercial insurance, private pay, Vocational Rehabilitation, and other funding sources. 
   19. Prepares, reviews, and submits claims in accordance with payer requirements and established deadlines. 
   20. Ensures accuracy of service codes, modifiers, authorizations, units, and supporting documentation. 
   21. Utilizes billing systems and reports to identify missing information, billing exceptions, and reimbursement concerns. 
   22. Monitors and resolves billing edits, claim rejections, denials, and underpayments. 
   23. Oversees claim corrections, rebilling activities, and payer appeals. 
   24. Monitors authorization utilization and eligibility requirements impacting reimbursements. 
   25. Coordinates with program leadership to resolve documentation and billing discrepancies. 
   26. Maintains accurate billing records and supporting documentation. 
   27. Monitors account receivables aging and collection activities. 
   28. Posts payments and reconciles remittance information. 
   29. Tracks billing trends, denial rates, reimbursement issues, and revenue cycle performance indicators. 

Required Skills and Abilities:

1. 1. Strong knowledge of accounting principles and financial reporting practices. 
   2. Knowledge of healthcare billing, Medicaid Waiver billing, insurance claims processing, and revenue cycle management. 
   3. Strong analytical, organizational, and problem-solving skills. 
   4. Ability to interpret financial and billing data and identify trends or discrepancies.
   5. Proficiency in accounting software, billing systems, spreadsheets, and Microsoft Office applications. 
   6. Ability to maintain confidentiality and exercise sound judgment. 
   7. Strong written and verbal communication skills.
   8. Ability to manage multiple priorities and deadlines independently.
   9. Ability to establish and maintain effective working relationships with employees, vendors, regulatory agencies, and funding sources. 

Working Conditions:

1. 1. Works in a clean, well-lit, temperature-controlled office.

Physical Requirements:

1. 1. Requires the ability to hear, see, talk, read, and write on a constant basis.
   2. Frequent keyboarding on computer. 
   3. Constant sitting within the office area.
   4. Routine walking.
   5. Infrequent bending. 
   6. Regularly required to use hands to finger, handle, or feel; reach with hands/arms. 

Preferred Minimum Qualifications (The following statements represent the minimum experience and training standards which will be used to screen applicants, provided that equivalent substitutions will be permitted in case of deficiencies in either experience or education.)

1. 1. Associate or bachelor's degree in accounting or finance. 
   2. Minimum three (3) years of progressively responsible accounting, finance, billing, or revenue cycle experience. 
   3. Experience with Medicaid billing, healthcare billing, or human services reimbursement preferred. 
   4. Experience preparing financial statements and performing account reconciliations. 
   5. Strong proficiency with accounting software, spreadsheets, and financial reporting tools.
   6. Demonstrated ability to manage multiple priorities and deadlines.