General Statement of DutiesThe Accountant & Billing Coordinator is responsible for the day-to-day accounting operations and full revenue cycle management for Rose Hill Center. This role ensures accurate financial records, timely billing and collections across all payor sources, and supports the integrity of financial reporting.

Essential Functions and Responsibilities:

Revenue Cycle & Billing:

• Manage the full end-to-end revenue cycle across all payor types, including private pay, commercial insurance (in coordination with external billing partner), and CMH/public pay.
• Generate and submit accurate and timely invoices for all services rendered.
• Track and manage accounts receivable, including detailed aging by payor type.
• Actively manage collections process, including follow-up on outstanding balances, communication with families and payors, and coordination with internal teams.
• Identify, investigate, and resolve denials, underpayments, and billing discrepancies.
• Monitor and report on key revenue cycle metrics including aging trends, collection timelines, and payment patterns.
• Maintain accurate census, billing records, and reimbursement tracking.
• Serve as internal liaison between admissions, clinical team, and external billing vendors.
• Support development and implementation of improved billing and collections workflows, controls, and accountability structures.
• Demonstrate ownership of receivables performance, with a focus on reducing aged balances and improving cash flow.

Accounting & Financial Operations:

• Accounts Payable and Accounts Receivable processing.
• General Ledger entries and reconciliations.
• Support the monthly close process, including preparation of journal entries, reconciliations, and supporting schedules.
• Maintain financial data accuracy.
• Assist in maintaining accurate coding and classification of expenses to support departmental reporting and budget tracking.

Cash Management & Controls:

• Process incoming payments.
• Track resident deposits and prepayments.
• Ensure proper documentation and internal controls.

Collaboration & Support:

• Work with admissions, clinical, and operations teams.
• Support staff with billing and financial questions.

Process Improvement:

• Identify workflow inefficiencies.
• Implement improvements in billing and accounting processes.
• Support evaluation and implementation of financial and billing systems as directed by the CFO.

Education: Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred.

Experience: 3-5 years of accounting or healthcare billing experience preferred. 

Skills: Experience with accounting software (QuickBooks or similar), Excel proficiency, and ability to resolve discrepancies.