Health Admins

Financial Systems Accountant

Health Admins

full-time

Posted on:

Location Type: Remote

Location: TexasUnited States

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About the role

  • Ownership Mapping: Formally document who is accountable for every step of the payment journey from initiation to bank reconciliation.
  • Policy Translation: Convert complex financial rules into clear If/Then logic for Technology to build into the system correctly.
  • System Reconciliation: Perform monthly three-way matches between merchant processors, escrow bank accounts, and the member database.
  • Leak Detection: Audit the system weekly to find never-initiated payments.
  • Revenue Validation: Ensure administrative fee draws are calculated against settled, stable contribution data.
  • Escrow Governance: Oversee fiduciary bank accounts to ensure proper segregation of duties and authorized fee-draw workflows.
  • Decline Management: Move payment failure investigations from Member Services to a structured, data-driven Accounting process.
  • IT Guardrails: Act as the final financial sign-off for system updates that touch the payment lifecycle.
  • New Client Standards: Define the mandatory financial data requirements for new clients.
  • Exception Oversight: Standardize the approval process for high-dollar write-offs, refunds, and retroactive coverage reinstatements.

Requirements

  • 3–5 years of accounting experience with direct responsibility for multi-system reconciliation in a healthcare payer, TPA, or health plan environment.
  • Demonstrated ability to work across ERP, CRM, merchant processing, and claims/eligibility systems simultaneously.
  • Experience building reconciliation frameworks, controls documentation, and exception reporting from scratch.
  • Proven track record of designing financial processes, validating they work correctly, and clearly communicating changes to operations and systems teams in a multi-team environment.
  • Experience translating financial policy into system requirements and reviewing technology deployments for financial impact before go-live.
  • Strong working knowledge of payment processing: ACH, credit card, merchant settlement cycles, decline handling, and retry logic.
  • Proficiency in Excel at an advanced level (lookups, pivots, conditional logic, data validation).
  • SQL or BI tool experience is a plus.
  • Bachelor’s degree in Accounting, Finance, or a related field.
Benefits
  • Competitive salary and benefits package
  • Dynamic and innovative work environment
  • Opportunities for professional growth and development
  • Remote work flexibility
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
accountingmulti-system reconciliationreconciliation frameworkscontrols documentationexception reportingfinancial processes designpayment processingExcelSQLBI tools
Soft Skills
communicationcross-team collaborationproblem-solvingattention to detailanalytical thinking
Certifications
Bachelor’s degree in AccountingBachelor’s degree in Finance