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Senior Accountant, Revenue and Accounts Receivable

Oceans Healthcare
Lafayette, LA Full Time
POSTED ON 6/5/2026
AVAILABLE BEFORE 7/4/2026
The Senior Accountant Revenue and Accounts Receivable will be an integral part of the finance and accounting team. This position will be responsible for ensuring the accuracy, integrity, and timeliness of revenue-related financial data, focusing on ASC 606 compliance, net patient service revenue calculations and payer contract analysis.

Essential Functions:

  • Prepares and posts monthly net patient service revenue and accounts receivable entries (gross charges, collections, contractual adjustments and write-offs).
  • Performs month end accounts receivable balance sheet reserve calculations in Excel. Analyzes, quantifies and reports component contributors to reserve impacts on financial results for the period.
  • Performs hospital level analysis of payer financial class revenue quantities, rates and mix variances to budget for the period.
  • Presents hospital level revenue analysis and results to operational leaders during monthly financial reviews.
  • Performs balance sheet reconciliations resolving reconciling items in a timely manner.
  • Prepares schedules for annual audit and provides explanations and inquiry responses to audit team as needed.
  • Collaborates with revenue cycle management teams to review accounts receivable aging, denials and write-off trends.
  • Communicates and works with CEO’s and other operational personnel for assigned hospitals.
  • Performs other job duties as assigned.

Requirements

Experience / Education:

  • Bachelor’s degree in accounting.
  • Minimum of four years’ experience in month-end close activities, account reconciliations and variance analysis, typically within the healthcare industry.
  • Advanced proficiency in Microsoft Excel (complex formulas, Pivot Tables)
  • Experience with managed care contracting and payer reimbursement methodologies is preferred

Skills / Abilities:

  • Ability to assist in identifying and implementing process improvements.
  • Ability to meet deadlines in a fast-paced structured corporate environment.
  • ERP experience required; Sage Intacct experience is a plus.
  • Exceptional oral and written communication skills.
  • CPA preferred.

Work Environment:

Subject to many interruptions. Pressure due to multiple calls and inquiries. Can be high-paced and stressful; must be able to cope mentally and physically with atmosphere.

Salary.com Estimation for Senior Accountant, Revenue and Accounts Receivable in Lafayette, LA
$79,556 to $101,262
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