US CITIZEN ONLY Accountant

Contract-to-hire role open to 100% remote US citizens. Must complete the Accountant Assessment in Glider and provide a link to the assessment on your resume.

About the Role

This is a non-traditional accounting position focused on healthcare insurance, client settlement activities, and cash-to-vendor tracking. The ideal candidate will be comfortable with cleanup efforts, digging up data, and working independently on a new team with minimal oversight. Experience in patient billing is not preferred.

Responsibilities

• Manage end-to-end client billing processes, ensuring accuracy, timeliness, and compliance with contractual agreements.
• Perform billing reconciliation and funding settlements, resolving discrepancies and collaborating with internal and external stakeholders.
• Monitor and support accounts receivable activities, including invoicing, cash application, and collections follow-up.
• Partner with clients and internal teams to resolve billing issues and disputes in a professional and timely manner.
• Assist in developing and implementing new processes and workflows, particularly in support of a growing or evolving function.
• Maintain accurate financial records and ensure all transactions are recorded in accordance with GAAP and company policies.
• Prepare and analyze account reconciliations, identifying variances and recommending corrective actions.
• Contribute to process improvement initiatives to enhance efficiency, accuracy, and scalability of accounting operations.
• Collaborate cross-functionally with finance, operations, and client-facing teams to ensure alignment and data integrity.
• Assist with audit support, providing documentation and explanations as needed.

Requirements

• Bachelor’s degree in Accounting, Finance, or a related field.
• 3–5+ years of relevant accounting experience, with exposure to billing, accounts receivable, or financial operations.
• Strong understanding of accounting principles (GAAP) and financial reporting practices.
• Experience in insurance, billing operations, or accounting environments.
• Proven ability to analyze financial data, identify discrepancies, and resolve issues efficiently.
• Experience working in process development or continuous improvement initiatives, particularly in new or evolving roles.
• Proficiency in accounting systems and ERP platforms (e.g., SAP, Oracle, NetSuite) and advanced skills in Microsoft Excel.
• Strong attention to detail with a high degree of accuracy and organization.
• Excellent communication and interpersonal skills, with the ability to interact effectively with clients and cross-functional teams.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Demonstrated problem-solving skills and a proactive, solutions-oriented mindset.
• Familiarity with banking, treasury functions, or cash management is a plus.

Preferred Experience

• Healthcare TPA and/or client-level reconciliations/settlements.
• Client settlement activities, including cash-to-vendor tracking and banking transactions.