Senior Accountant

Senior Accountant

We are seeking a high‑performing Senior Accountant to join our fast‑paced, private‑equity backed healthcare organization. This role is ideal for someone who thrives in environments with complex data, evolving processes, and cross‑functional collaboration. The Senior Accountant will play a key role in monthly close, financial reporting, and account reconciliations, while also acting as a partner to operations, FP&A, and external stakeholders. 

A successful candidate enjoys the investigative aspect of accounting—digging into data discrepancies, reconciling information across systems, understanding the “why,” and clearly communicating findings to both finance and non‑finance audiences. 

Location: Dallas, TX | USA | Full-time Onsite

Responsibilities:

• Own complex reconciliations involving claims data from multiple systems (billing platforms, claims databases, payor reports, and GL).
• Validate completeness and accuracy of claims files prior to revenue recognition and/or client reporting.
• Investigate discrepancies between operational claims data and financial system outputs; identify root causes and drive resolution.
• Develop and maintain reconciliation templates and processes as the business, systems, and payor relationships evolve.
• Work closely with claims operations, billing, and revenue cycle teams to ensure upstream data integrity.
• Perform deep dive analysis on claims variances, aging, denials, and adjustments to support decision making.
• Clearly communicate findings to both finance and nonfinance stakeholders—including claims operations, client facing teams, and leadership.
• Provide ongoing insight into claims trends, anomalies, and system issues.
• Prepare and review month end journal entries and reconciliations related to claims activity, revenue, AR, accruals, and other assigned accounts.
• Support the monthly close calendar and ensure claims related journal entries are completed accurately and on time.
• Assist with preparation of internal financial reporting packages as needed.
• Partner with cross functional teams to understand how operational changes impact claims accounting.
• Support onboarding of newly acquired providers/entities, including mapping of claims data and integrating claims related processes.
• Assist with ad hoc reporting requests tied to claims, client deliverables, or operational performance.
• Identify and implement improvements to streamline claims reconciliations and enhance data integrity.
• Strengthen internal controls around claims data flow, reconciliation, and reporting.
• Support system enhancements or implementations impacting claims or billing workflows.
• Maintain proper documentation for reconciliations and claims related accounting processes. 

Requirements:

• Bachelor’s degree in Accounting or Finance required; CPA or CPA‑track preferred.
• Big 4 Experience highly preferred
• Strong analytical and investigative mindset with proven ability to reconcile complex datasets.
• Experience working with EHR, billing, or claims systems (e.g., Athena, NextGen, Epic, eClinicalWorks, or similar) is a plus.
• Advanced Excel skills; comfort working with large datasets is essential.
• Ability to function effectively in a fast‑paced, PE‑backed environment with shifting priorities.
• Excellent communication skills—able to explain technical accounting findings to non‑technical audiences.
• High attention to detail, strong organizational skills, and a sense of ownership. 

Strong Candidates will:

• Investigative thinker: enjoys problem‑solving, researching discrepancies, and understanding system‑to‑system data flow.
• Strong communicator: can break down complex claims issues into clear explanations for clients and internal teams.
• Collaborative partner: works closely with claims, operations, billing, and finance.
• Agile and adaptable: thrives in a scaling, evolving organization.
• Process‑driven: builds structure and consistency in a high‑volume data environment.  

 Benefits

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