Accountant - Billing

2 weeks ago

Middletown, NY, United States Access Full time

Accountant - Billing

Location: Middletown, NY, United StatesDate Posted: Oct 17, 2025

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Description

Location: Middletown, NY

On-Site Position

Pay Rate: $28.00 per hour

Hours: Monday-Friday 8:00AM-4:30PM (40hrs)

Overview:

We are a $160 million non-profit organization with over $100 million in annual billing. We seek an Accountant specializing in Behavioral Health insurance billing and Medicaid Managed Care billing. The ideal candidate will have expertise in Net Smart for Behavioral Health and play a key role in financial operations, ensuring accuracy in billing, reconciliation, and reporting.

Primary Responsibilities:

  • Manage accounts receivable, including cash/denial postings and follow-up on MCO insurance claims.

  • Independently create and maintain spreadsheets and databases to streamline billing processes.

  • Support corporate financial statement preparation and ensure subsidiary financials are accurate and balanced.

  • Prepare and post recurring and adjusting journal entries related to billing operations.

  • Assist with internal and external audits, financial ratio analysis, and year-end projections.

  • Communicate effectively with staff and leadership regarding financial matters.

  • Ensure compliance with Medicaid Managed Care and Behavioral Health insurance billing regulations.

  • Utilize Net Smart for Behavioral Health to manage and analyze billing data.

  • Perform other duties as assigned.

Qualifications & Skills:

  • Associate’s degree in Accounting or related field with at least 1 year of experience, or a Bachelor’s degree.

  • Experience in non-profit accounting preferred.

  • Strong understanding of Behavioral Health insurance billing and Medicaid Managed Care billing.

  • Proficiency in Net Smart for Behavioral Health.

  • Excellent Excel skills and familiarity with financial database software; Ceridian Dayforce experience preferred.

  • Strong analytical, problem-solving, and communication skills.

  • Bilingual English/Spanish is a plus.

Work Environment & Physical Requirements:

  • Ability to sit or stand for extended periods while working on a computer.

  • Capable of working in an open-space office environment.

  • Occasional lifting of 25+ pounds.

  • Ability to navigate tight spaces and move throughout the workplace as needed.

We are committed to fostering an inclusive and accommodating work environment. Reasonable accommodations will be made to enable individuals with disabilities to perform essential functions.

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