Junior Accountant

POSITION OVERVIEW

We are seeking a detail-oriented Accountant with demonstrated experience in multi-system revenue environments to join our Finance team. The primary mandate of this role is to own the end-to-end reconciliation between our clinical billing platform and our accounting system (Sage), ensuring management holds a real-time, audit-ready view of revenue and accounts receivable at all times.

This position will operate at the intersection of healthcare billing operations and financial reporting. The successful candidate will be the primary point of accountability for Accounts Receivable accuracy, system discrepancy resolution, and weekly management reporting, with direct exposure to senior leadership.

OPERATING ENVIRONMENT

This role operates within a dual-system architecture common to healthcare professional services:

CORE RESPONSIBILITIES

A. Revenue Recognition & Journal Entry Posting

• Extract and validate billing data (by entity, division, and payer) at month-end
• Prepare and post revenue recognition journal entries into Accounting System in accordance with applicable standards
• Reconcile eClinicalWorks reported revenue to Sage GL; document and resolve all variances with supporting evidence
• Maintain an auditable revenue bridge file updated monthly, available on demand for audit and management review
• Ensure correct entity and divisional coding in the Accounting System for all revenue postings

B. Accounts Receivable Reconciliation

• Perform weekly and month-end reconciliation of AR balances between eCW and Sage
• Identify, categorize, and escalate AR discrepancies: timing differences, unposted claims, write-offs, unapplied payments, or system mapping errors
• Coordinate with billing and collections teams to resolve aged items and claim denials impacting AR accuracy
• Flag AR items requiring write-down or reserve adjustment to the Senior Analyst for management review

C. Management Reporting

• Produce and distribute a weekly AR and revenue summary report to the Financial Analyst and Senior Management
• Report content to include: gross billings, collections, net AR by aging bucket, reconciling items, and commentary on variances vs. prior week and budget
• Maintain report templates and version control; ensure reports are delivered on schedule without follow-up
• Provide ad hoc analysis on revenue trends, collection efficiency, and payer mix as requested

D. Month-End Close Support

• Prepare month-end AR, revenue accrual, and deferred revenue schedules
• Complete assigned close tasks within the published close calendar
• Prepare supporting workpapers for external audit and internal review
• Assist in the preparation of working capital and AR continuity schedules for lender or investor reporting

E. Systems & Process Integrity

• Document reconciliation procedures, escalation paths, and control checkpoints in a written SOP
• Identify and escalate recurring system mapping issues between ECW and Sage to IT or operations
• Support any future system integration or automation initiatives as directed by Finance leadership
• Maintain organized, clearly labelled electronic working papers with version control

QUALIFICATIONS & EXPERIENCE

Education

• Bachelor's degree in Accounting, Finance, or a related field (required)

Technical Experience

• 1–3 years of accounting experience; healthcare, clinical services, or professional services environment strongly preferred
• Hands-on experience with multi-system environments requiring manual reconciliation (e.g., billing platform ERP/accounting system)
• Direct experience with eCW, Sage, or functionally equivalent systems
• Proficiency in Microsoft Excel: PivotTables, VLOOKUP/XLOOKUP, data validation, and structured reconciliation templates
• Working knowledge of revenue recognition under ASC 606; familiarity with insurance billing cycles, payer remittances, and claim denial logic

Skills & Competencies

• Self-directed and delivery oriented. capable of producing weekly reports without prompting
• Clear written communication: comfortable preparing management-facing summaries that translate accounting detail into operational insight
• Collaborative; able to work across Finance, Billing, and Operations to resolve cross-functional discrepancies

Salary : $20 - $25