Healthcare Sr Accountant

Location: Chennai

Position Type: Full-Time

Reports To: Chief Financial Officer (CFO)

Job Summary

The person serves as the lead accounting officer, directing all financial and accounting operations for our healthcare organization. This role is responsible for ensuring highly accurate financial reporting under healthcare accounting standards, optimizing the revenue cycle, maintaining strict internal controls, and navigating the complex landscape of federal and Texas state healthcare regulations. The ideal candidate will bridge the gap between financial discipline and clinical operational needs.

Key Responsibilities

Healthcare Financial Management & GAAP

Oversee monthly, quarterly, and annual closing processes.
Prepare comprehensive financial statements specific to healthcare (including tracking net patient service revenue, contractual allowances, and charity care provisions) in compliance with GAAP.

Revenue Cycle Oversight & Analysis

Partner with the billing and revenue cycle teams to analyze accounts receivable (AR), monitor days sales outstanding (DSO), evaluate aging buckets, and ensure accurate accounting for third-party payor settlements (Medicare, Texas Medicaid, Commercial Insurance).

Internal Controls & Audit Management

Design and maintain a rigorous system of internal controls to protect assets and prevent fraud across clinical and administrative sites.
Act as the primary liaison for independent financial audits, state cost report audits, and federal compliance reviews.

Cost Accounting & Budgeting

Develop, implement, and monitor the annual operating and capital budgets.
Analyze departmental cost allocations (such as labor, medical supplies, and pharmaceuticals) to identify cost-containment opportunities and efficiency gains.

Team Leadership

Supervise and mentor the accounting department staff, fostering a collaborative culture that understands the financial nuances of the healthcare delivery system.

Required Qualifications

Education

Bachelor's degree in Accounting, Finance, or Healthcare Administration (with an accounting focus).

Experience

7–10 years of progressive accounting experience, with at least 3–5 years in a financial management role within a healthcare setting (e.g., hospital system, large physician group, outpatient clinic, or long-term care).

Technical Skills

Advanced proficiency in Sage(Inacct).
Advanced Microsoft Excel skills.

Domain Knowledge

Deep understanding of healthcare reimbursement models, contractual allowances, third-party payor structures, and federal/state healthcare fraud and abuse laws (such as Stark Law and the Anti-Kickback Statute).

Preferred Qualifications

Certification

Other Certifications related to Accounting.

Senior Accountant(HealthCare)