Sr Accountant

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Posted Aug 22, 2026

Remote · Texas Full Time
Est. $85K – $110K/yr

Overview

Senior Accountant (Sr Accountant)

Department: Accounting/Finance

Location: Texas residency required

Work Type: Remote

This role monitors and maintains the organization’s General Ledger accounts and business transactions in accordance with Generally Accepted Accounting Principles (GAAP). The position includes analytical work and thorough review of financial records, support for internal and external customers, and preparation of consolidated Health System financial statements.

Responsibilities

  • Prepare and analyze net patient revenue reporting, including reserve methodology calculations, reconciliations, financial schedules, and Crowe Revenue Cycle Analytics (RCA) reporting.
  • Partner with Revenue Integrity, Managed Care, Finance, and accounting teams to identify trends, investigate variances, support accurate reserve calculations, and ensure reliable financial reporting.
  • Prepare monthly, quarterly, and annual consolidated Health System financial statements, including schedules, footnotes, and MD&A in accordance with generally accepted accounting principles.
  • Prepare monthly eliminating entries for the Health System financials.
  • Review, reconcile, and prepare monthly entries related to investments and debt for the Health System.
  • Prepare pension, benefit, and single audit financial packages and audit schedules; coordinate information gathering from internal and external customers; and respond to auditor inquiries.
  • Prepare and post monthly journal entries according to established guidelines and timeframes.
  • Perform monthly account variance analysis for balance sheet and income statement accounts as part of the financial review process and prepare and record adjusting entries as necessary.

Requirements

  • At least 3 years related experience required.
  • At least 2 years Healthcare Industry experience required.
  • Strong experience with Net Patient Service Revenue (NPSR) required.

Preferred Qualifications

  • At least 2 years experience with Kodiak RCA preferred.
  • At least 2 years Intermediate to Advanced Knowledge of Excel functions preferred.
  • Certified Public Accountant preferred.

Education

  • Bachelors Degree required.

Compensation & Benefits

  • Employee portion of medical plan premiums are covered after 3 years.
  • 4%-10% employee savings plan match based on tenure.
  • Paid Parental Leave (up to 12 weeks).
  • Caregiver Leave.
  • Adoption and surrogacy reimbursement.

Equal Opportunity

The employer does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class.