The Senior Revenue Accountant is responsible for the accurate recognition, recording, and reporting of revenue in accordance with US GAAP (ASC 606) within a healthcare environment. A key focus of this role is the identification, establishment, and ongoing management of specific customer-level reserves for accounts where collectability is uncertain and revenue recognition must be paused or deferred. This individual contributor role requires strong technical accounting knowledge, sound judgment in evaluating customer risk, and the ability to collaborate cross-functionally with billing, collections, and finance teams.

Key Responsibilities

Revenue Accounting

• Record and review revenue transactions in compliance with ASC 606 and company revenue recognition policies
• Perform monthly close activities including journal entries, account reconciliations, and variance analysis related to revenue accounts
• Ensure proper cut-off and completeness of revenue recorded across customer accounts and service lines
• Assist in the preparation of revenue-related schedules for financial reporting and audit support

Specific Reserve Management

• Identify and evaluate customer accounts where collectability is no longer probable, triggering a pause or deferral of revenue recognition
• Establish, maintain, and adjust specific customer-level reserves based on ongoing assessment of collection risk, account status, payer behavior, and supporting documentation
• Partner with the billing, collections, and accounts receivable teams to obtain current account information and inform reserve decisions
• Prepare and maintain detailed reserve schedules, including reserve rationale, aging analysis, and historical collection trends
• Monitor reserved accounts on a recurring basis and release or increase reserves as appropriate based on updated collectability assessments
• Document reserve methodology and ensure consistency of application across periods in accordance with accounting policy

Reporting & Analysis

• Prepare monthly reserve roll-forward schedules and present findings to the Accounting Manager / Controller
• Analyze revenue trends, deferred revenue balances, and reserve activity to identify anomalies or emerging risks
• Support internal and external audit requests related to revenue and reserve accounts
• Assist in the development and documentation of accounting policies related to revenue recognition and specific reserves

Cross-Functional Collaboration

• Work closely with billing, collections, and revenue cycle teams to stay informed on customer account developments
• Coordinate with FP&A on revenue forecasting inputs related to reserve activity
• Serve as a subject matter resource for revenue recognition and reserve questions from the broader accounting team

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

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