Billing Accountant

Job Title: Billing Accountant

Pay: $60K-$70K

Position Type: Hybrid after training period

Overview

Altocare is seeking a detail-oriented Billing Accountant to join our accounting team. The primary focus of this role is to support the accuracy, integrity, and timely reporting of revenue, accounts receivable, cash activity, and related general ledger accounts. The Billing Accountant is responsible for recurring accounting activities throughout the monthly close, including journal entries, account reconciliations, variance analysis, financial reporting support, and maintenance of complete audit-ready documentation. The role applies accounting principles and established policies to analyze account activity, investigate discrepancies, and support accurate financial reporting. Billing and accounts receivable responsibilities remain an important component of the position and provide the underlying transaction data that flows into the company’s accounting records and financial statements. On the billing side of the role, the Billing Accountant serves as a front-facing resource to the franchise network, providing professional assistance with royalty and fee billing, account activity, payments, credits, and billing questions. The Billing Accountant partners closely with the Director of Accounting & Finance, accounting and finance team, operations, franchise support teams, franchisees, clients, and payers to resolve issues, strengthen controls, and improve accounting and billing processes.

Key Responsibilities

• Accounting & Financial Close

  •  Own assigned accounting activities related to revenue, accounts receivable, cash application, deferred revenue, and related accruals throughout the monthly close process
  • Prepare, analyze, and post journal entries for revenue, accounts receivable, deferred revenue, cash activity, and related accruals, ensuring entries are supported, accurate, and recorded in the appropriate period.
  • Reconcile the accounts receivable subledger to the general ledger each month; investigate reconciling items, determine root causes, and coordinate timely correction of discrepancies.
  • Perform monthly balance sheet and assigned general ledger account reconciliations and maintain complete supporting documentation for transactions and adjustments.
  • Analyze revenue, accounts receivable, cash collections, aging, and DSO activity; prepare recurring reports and variance explanations for review by the Senior Accountant and other accounting and finance stakeholders.
  • Analyze aging, payment history, collection trends, and account-specific information to support recommendations for the allowance for doubtful accounts and bad-debt write-offs.
  • Apply established GAAP principles, including revenue recognition and accrual accounting, to assigned accounting activities and elevate unusual or complex accounting matters for review when appropriate.
  • Review accounting activity for completeness, accuracy, appropriate cutoff, and consistency with internal controls and established policies and procedures.
  • Maintain organized, audit-ready schedules and supporting documentation for revenue, accounts receivable, cash application, reconciliations, journal entries, and related account activity.
  • Support financial statement and other audits by preparing schedules, researching transactions, compiling documentation, and responding to auditor requests related to assigned accounts.
  • Identify recurring accounting discrepancies, control gaps, or inefficiencies and help implement process improvements, standardization, and automation across revenue, receivables, cash application, and close activities.
  • Assist the Senior Accountant and accounting and finance team with accounting analysis, special projects, financial reporting support, and other assigned accounting responsibilities. 

• Billing & Accounts Receivable

  • Prepare, review, and issue accurate and timely invoices, including recurring franchise royalty and fee billing and client/payer billing, in accordance with established billing terms and supporting documentation.
  • Serve as a front-facing billing resource for franchisees, providing timely and professional assistance with recurring royalty and fee invoices, account balances, payments, credits, and other billing-related questions.
  • Research franchise billing questions and account discrepancies, explain invoice and account activity clearly, coordinate with franchise support and internal teams as needed, and follow issues through resolution or appropriate escalation.
  • Review invoice and billing data before release to identify and correct errors in rates, quantities, customer information, payer requirements, and other billing inputs.
  • Post and apply customer payments, ACH receipts, credits, and adjustments; research unapplied or misapplied cash and ensure activity is accurately reflected in the accounting records.
  • Monitor accounts receivable aging, perform collections follow-up, document collection activity, and escalate past-due or higher-risk balances in accordance with company policy.
  • Investigate billing disputes, denials, short-pays, ACH returns, and account discrepancies in partnership with operations, franchise support teams, clients, and payers, ensuring financial records are updated appropriately when issues are resolved.
  • Maintain accurate customer master data and billing records and ensure billing activity is complete, well documented, and appropriately reflected in the accounts receivable subledger and general ledger.

Qualifications

• Bachelor’s degree in accounting, finance, or a related field.
• 2–3 years of accounting experience with hands-on responsibility for journal entries, account reconciliations, month-end close, revenue, accounts receivable, or related general ledger activity. • Working knowledge of GAAP, including revenue recognition, accrual accounting, and the relationship between subledger activity and the general ledger.
• Hands-on experience performing AR subledger-to-general-ledger reconciliations, balance sheet reconciliations, and bank or cash reconciliations.
• Strong analytical and critical-thinking skills, including the ability to research account activity, identify the cause of discrepancies, evaluate supporting documentation, and recommend appropriate resolution or escalation.
• Proficiency in accounting software, preferably Sage Intacct, and strong Microsoft Excel skills, including pivot tables, XLOOKUP/VLOOKUP, and SUMIFS.
• Demonstrated ability to manage recurring month-end close requirements and accounting deadlines accurately and consistently.
• Exceptional attention to detail and disciplined self-review practices that support accurate journal entries, reconciliations, invoices, and financial reporting.
• Effective written and verbal communication skills, with the ability to explain accounting and billing matters clearly to finance partners, internal teams, franchisees, clients, and payers.
• Familiarity with billing systems and payer portals; healthcare, home care, franchise billing, Medicaid, or managed care billing experience is preferred 

What We Offer

• Competitive pay
• Growth potential
• Comprehensive Medical, Dental, Vision health insurance with a generous percentage paid by the company
• Flexible Spending Account for health and dependent care
• Company paid Life Insurance, AD&D, and Short-Term Disability
• Competitive group rates for Voluntary Long-Term Disability
• 401k with excellent matching
• Paid vacation, personal days, and holidays. We also offer a paid day off for your birthday!
• Allowance reimbursement for Gym Membership
• Education Tuition Reimbursement

About Altocare

Altocare operates through its trusted brands—Senior Helpers and MedTec Healthcare—delivering a full spectrum of in-home care services designed to meet diverse needs. Senior Helpers specializes in professional caregiver support, offering personal care and specialized programs for individuals with chronic conditions. MedTec Healthcare also provides in-home care, ensuring comprehensive health management from the comfort of home.

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability.