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Accountant I

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Sacramento, CA 95827

Overview

Category
Administrative
Position Type
Full Time
Job Shift
Day
Education Level
Assoicate Degree
Travel Percentage
None
Salary Range
$33.00 – $36.00 Hourly

Position Summary

This Accountant I position specializing in Revenue and Accounts Receivables will be responsible for managing patient revenue, monitoring accounts receivable (AR), and supporting the financial health of outpatient and professional services. This role ensures accurate revenue recognition, supports efficient collections and applications and collaborates closely with revenue cycle teams to optimize collections and reporting across providers and locations.

Essential Duties and Responsibilities

Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary, to perform the essential duties and function of this position.

  • Record and reconcile professional fee revenue in accordance with GAAP and healthcare accounting standards.
  • Analyze revenue streams including office visits, procedures, ancillary services, and telehealth.
  • Review contractual adjustments, payment variances, and reimbursement rates by payer.
  • Prepare journal entries related to revenue, allowances, and provider-level adjustments.
  • Monitor AR aging reports by provider, clinic location, and payer.
  • Track key metrics such as Days in AR, denial rates, and net collection percentages.
  • Manages daily cash (debit and credit card) collections and payment applications
  • Prepare journal entries related to accounts receivables and collections.
  • Partner with billing teams to resolve denials, underpayments, and claim discrepancies.
  • Support initiatives to improve collections and reduce bad debt.
  • Reconcile billing system activity to the general ledger.
  • Validate EMR/practice management system data
  • Maintain accurate audit documentation and resolve discrepancies.
  • Ensure compliance with CMS rules, payer contracts, and clinic billing regulations.
  • Support audits and maintain regulatory readiness.
  • Stay current with healthcare reimbursement changes (telehealth, value-based care)

Qualifications

The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.

Education & Experience

  • Bachelor’s degree in Accounting.
  • 2–5+ years of accounting experience preferred; healthcare revenue cycle, or AR experience (clinic/physician group preferred).
  • Accounting experience for an FQHC setting preferred.

Technical Skills

  • Advanced Excel skills (pivot tables, XLOOKUP, data analysis).
  • Experience with Accounting Program (Sage Intacct) and EMR/practice management systems.
  • Understanding of GAAP and healthcare revenue recognition.

Core Competencies

  • Strong analytical and critical-thinking skills
  • High attention to detail
  • Ability to manage multiple providers and locations
  • Strong communication and teamwork skills
  • Ability to translate financial data into actionable insights

Benefits

A comprehensive benefit package for eligible employees and their eligible dependents as follows:

  • Medical, Life, Dental & Vision Insurance
  • 401(K) and Profit Sharing
  • Paid Time off and Paid Sick Leave
  • Six Paid Holidays
  • Short-Term and Long-Term Disability
  • Gym Membership Allowance
  • Telemedicine Program
  • Legal and Identity Shield

Work Environment Disclaimer

This position primarily works in a healthcare setting that may include medical, dental, behavioral health, and administrative environments. Employees may be exposed to communicable diseases, bloodborne pathogens, bodily fluids, medical equipment, cleaning agents, and other conditions commonly associated with healthcare operations. Employees are expected to follow all infection prevention and control procedures, safety protocols, and use required personal protective equipment (PPE).

At-Will & EEO Disclaimer

Employment with the organization is at will and may be terminated by either the employee or the organization at any time, with or without cause or advance notice, subject to applicable federal, state, and local laws. Nothing contained in this job description shall be construed as creating an employment contract, expressed or implied.

The organization is an Equal Opportunity Employer and is committed to providing a workplace free from discrimination, harassment, and retaliation. Employment decisions are made without regard to race, color, national origin, ancestry, age, disability, sex, gender identity, gender expression, sexual orientation, religion, marital status, veteran status, genetic information, or any other protected status under applicable law.

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Accountant I