Senior Accountant

About This Job

OptiSol Business Solutions

Location: Chennai, Tamil Nadu, India

Work Mode: On-site

Industry: IT Services and IT Consulting

• Position: Senior Accountant
• Location: Chennai or Madurai (Work from OptiSol Office)
• Working Hours: US Business Hours
• Employment Type: Full-Time or Contract
• Reporting To: Chief Financial Officer (CFO)
• Note: We are looking for a candidate with strong experience in US Accounting. Healthcare
• industry experience is optional.

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
• Bachelors 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 (Intacct).
• 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