Senior Accountant

Lantern

$75K — $95K *
Legal & Accounting
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting or Finance required; CPA or CPA-track preferred.
  • Big 4 experience highly preferred.
  • Strong analytical skills with ability to reconcile complex datasets.
  • Experience with EHR, billing, or claims systems preferred.
  • Advanced Excel skills for handling large datasets.
  • Ability to thrive in a fast-paced, private-equity backed environment.
  • Excellent communication skills to explain findings to varied audiences.

Responsibilities

  • Own complex reconciliations involving claims data from multiple systems.
  • Validate claims file accuracy prior to revenue recognition.
  • Investigate discrepancies between operational and financial data.
  • Develop reconciliation templates as business evolves.
  • Perform deep dive analysis on claims variances and adjustments.
  • Communicate findings to both finance and non-finance stakeholders.
  • Support onboarding of newly acquired providers and data integration.

Benefits

  • Sponsor CPA exam costs for eligible candidates.
  • Medical, dental, and vision insurance provided.
  • Short and long-term disability insurance.
  • Life insurance coverage included.
  • 401k plan with company match.
  • Paid time off policy available.
  • Paid parental leave offered.
Full Job Description
Senior Accountant

We are seeking a high-performing Senior Accountant to join our fast-paced, private-equity backed healthcare organization. This role is ideal for someone who thrives in environments with complex data, evolving processes, and cross-functional collaboration. The Senior Accountant will play a key role in monthly close, financial reporting, and account reconciliations, while also acting as a partner to operations, FP&A, and external stakeholders.

A successful candidate enjoys the investigative aspect of accounting-digging into data discrepancies, reconciling information across systems, understanding the "why," and clearly communicating findings to both finance and non-finance audiences.

Location: Dallas, TX | USA | Full-time Onsite - flexibility for hybrid 1 day per week

Responsibilities:
  • Own complex reconciliations involving claims data from multiple systems (billing platforms, claims databases, payor reports, and GL).
  • Validate completeness and accuracy of claims files prior to revenue recognition and/or client reporting.
  • Investigate discrepancies between operational claims data and financial system outputs; identify root causes and drive resolution.
  • Develop and maintain reconciliation templates and processes as the business, systems, and payor relationships evolve.
  • Work closely with claims operations, billing, and revenue cycle teams to ensure upstream data integrity.
  • Perform deep dive analysis on claims variances, aging, denials, and adjustments to support decision making.
  • Clearly communicate findings to both finance and nonfinance stakeholders-including claims operations, client facing teams, and leadership.
  • Provide ongoing insight into claims trends, anomalies, and system issues.
  • Prepare and review month end journal entries and reconciliations related to claims activity, revenue, AR, accruals, and other assigned accounts.
  • Support the monthly close calendar and ensure claims related journal entries are completed accurately and on time.
  • Assist with preparation of internal financial reporting packages as needed.
  • Partner with cross functional teams to understand how operational changes impact claims accounting.
  • Support onboarding of newly acquired providers/entities, including mapping of claims data and integrating claims related processes.
  • Assist with ad hoc reporting requests tied to claims, client deliverables, or operational performance.
  • Identify and implement improvements to streamline claims reconciliations and enhance data integrity.
  • Strengthen internal controls around claims data flow, reconciliation, and reporting.
  • Support system enhancements or implementations impacting claims or billing workflows.
  • Maintain proper documentation for reconciliations and claims related accounting processes.

Requirements:
  • Bachelor's degree in Accounting or Finance required; CPA or CPA-track preferred.
  • Big 4 Experience highly preferred
  • Strong analytical and investigative mindset with proven ability to reconcile complex datasets.
  • Experience working with EHR, billing, or claims systems (e.g., Athena, NextGen, Epic, eClinicalWorks, or similar) is a plus.
  • Advanced Excel skills; comfort working with large datasets is essential.
  • Ability to function effectively in a fast-paced, PE-backed environment with shifting priorities.
  • Excellent communication skills-able to explain technical accounting findings to non-technical audiences.
  • High attention to detail, strong organizational skills, and a sense of ownership.

Strong Candidates will:
  • Investigative thinker: enjoys problem-solving, researching discrepancies, and understanding system-to-system data flow.
  • Strong communicator: can break down complex claims issues into clear explanations for clients and internal teams.
  • Collaborative partner: works closely with claims, operations, billing, and finance.
  • Agile and adaptable: thrives in a scaling, evolving organization.
  • Process-driven: builds structure and consistency in a high-volume data environment.

Benefits

  • Sponsor CPA exam costs for eligible candidates
  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short & Long Term Disability
  • Life Insurance
  • 401k with company match
  • Paid Time Off
  • Paid Parental Leave


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