Senior Revenue Accountant

$ 105000 - $ 110000 / Year
location_onAustin, Texas

Accounting & Finance

acutePermanent
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Senior Revenue Accountant

Healthcare Company
Location: Northwest Austin
Hybrid Work Schedule
Base Salary: $105,000–$110,000

About This Company

This organization is a fast-growing, physician-led healthcare platform with a strong presence across the U.S. and a reputation for operational excellence, patient-first care, and thoughtful growth. With 130+ locations and continued expansion, the company combines the stability of an established healthcare provider with the energy of a scaling organization.

Finance and accounting are viewed as strategic partners to the business—not just a back-office function. The team values collaboration, accountability, and continuous improvement, and offers a professional environment where experienced accountants can truly own their work and see its impact.

Why This Role

The Senior Revenue Accountant will play a critical role in owning and overseeing the revenue cycle accounting function within a complex, multi-location healthcare environment. This is a hands-on, high-visibility position with responsibility for revenue, accounts receivable, intercompany activity, and provider compensation, as well as meaningful exposure to technical accounting and audit processes.

This role is ideal for someone who enjoys:

  • Ownership and accountability

  • Navigating complex revenue streams

  • Partnering cross-functionally with Revenue Operations and leadership

  • Working in a hybrid environment with strong work-life balance

What You’ll Be Doing

Revenue & Close Ownership

  • Lead the monthly close process for revenue and accounts receivable across 130+ locations, ensuring accuracy, completeness, and timeliness.

  • Prepare and post month-end journal entries in accordance with U.S. GAAP.

  • Complete monthly balance sheet reconciliations related to revenue, AR, deferred revenue, and related accounts.

Revenue Cycle & Cash

  • Serve as the primary accounting owner of the end-to-end revenue cycle.

  • Manage reconciliation of unapplied cash, partnering closely with the Revenue Operations team to resolve discrepancies and improve efficiency.

  • Support and enhance quote-to-cash workflows through cross-functional collaboration.

Technical Accounting & Compliance

  • Maintain and update revenue recognition policies under ASC 606, specifically tailored to healthcare and multi-entity environments.

  • Oversee intercompany revenue transactions and eliminations to ensure clean consolidated financial reporting.

  • Prepare detailed support for external audits, partnering with auditors on revenue-related inquiries.

Provider Commissions & Reporting

  • Calculate, review, and record complex provider commission structures, ensuring timely and accurate payouts.

  • Assist with revenue-related financial reporting and analysis.

Tax & External Partners

  • Coordinate with an external tax firm to ensure sales tax compliance and reporting are accurate and timely.

What We’re Looking For

Required Qualifications

  • Bachelor’s degree in Accounting or related field

  • 5+ years of progressive revenue accounting experience

  • Strong working knowledge of U.S. GAAP

  • Demonstrated experience owning revenue close processes in a multi-entity or multi-site organization

  • Advanced Excel skills (pivot tables, lookups, complex formulas)

Strongly Preferred

  • Experience in healthcare or healthcare-adjacent organizations

  • Hands-on exposure to ASC 606

  • Experience with Sage Intacct

  • Experience with ModMed or similar practice management systems

  • Experience supporting external audits

  • CPA eligible (or actively pursuing)

This role is best suited for candidates with deep revenue accounting experience. General accountants without hands-on revenue ownership or close responsibility are unlikely to be a fit.

Skills & Attributes for Success

  • Highly detail-oriented with strong analytical and organizational skills

  • Comfortable managing multiple priorities in a fast-paced, growing environment

  • Effective communicator who collaborates well across finance, operations, and clinical teams

  • Process-minded with a continuous-improvement mindset

  • Professional, discreet, and experienced working in regulated environments (HIPAA-aligned)

Work Environment

  • Administrative office setting with occasional visits to clinical locations

  • Hybrid work schedule (remote and in-office)

  • May involve standing, sitting, walking, and lifting items up to 30 lbs

  • Limited but possible exposure to healthcare or clinical environments



Pay Details: $105,000.00 to $110,000.00 per year

Search managed by: Mason Willrich

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance


Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.


Ref: US_EN_27_813252_3123353