Senior Accountant

Responsibilities

• Accounts Receivable, Billing, Reimbursement & Deferred Revenue Oversight
• Lead and manage the full AR lifecycle related to patient affordability and market access programs, including invoicing, cash application, adjustments, credits, and collections.
• Reconcile manufacturer funding, program reimbursements, administrative fees, and third-party payments to contractual terms.
• Calculate, book, and reconcile deferred revenue in accordance with GAAP and contractual performance obligations.
• Analyze reimbursement activity to identify short-payments, overpayments, eligibility discrepancies, and funding gaps.
• Maintain strong internal controls over billing, reimbursement validation, deferred revenue, and funding reconciliation.
• Support technical accounting analysis related to contract modifications or new program structures.

Patient Services & Market Access

• Serve as financial liaison to Patient Services, Market Access, and Customer Service teams for billing and reimbursement inquiries.
• Support resolution of escalated patient assistance or copay program financial discrepancies.
• Provide financial insight into program funding utilization, reimbursement trends, and revenue timing.
• Aid in evaluating financial impact of program design changes or new market access initiatives.
• Identify recurring process issues impacting patient experience and recommend improvements.

Month-End Close & Program Reconciliation

• Lead month-end close activities related to affordability and access programs, including AR, deferred revenue, accruals, and funding reconciliations.
• Reconcile program sub-ledgers to the general ledger.
• Prepare financial reporting and analytics for leadership, including funding utilization, DSO, deferred revenue balances, and reimbursement variance trends.
• Support forecasting and budgeting related to program revenue and funding utilization.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field (required).
• CPA preferred.
• Experience: 7–10 years of progressive accounting experience.
• Strong experience managing AR, billing, and revenue recognition in a reimbursement-driven, contract-based environment.
• Demonstrated experience calculating, booking, and reconciling deferred revenue.
• Experience supporting patient affordability programs, copay assistance, hub services, or market access functions preferred.
• Experience working with ERP systems and program management platforms.
• Technical Skills: Strong knowledge of GAAP, ASC 606, and revenue recognition principles. Experience analyzing complex contracts and identifying performance obligations. Advanced Excel skills and strong analytical capabilities. Ability to interpret and apply program funding agreements and reimbursement methodologies.