Accountant I

Job Details: Job Location: 3030 Explorer Drive, Sacramento, CA 95827

• Sacramento, CA, Position Type: Full Time, Education Level: Assoicate Degree, Salary Range: $33.00 - $36.00Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Accounting/Finance, 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.

Key Responsibilities

• 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

Qualifications 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