UASI

Billing, AR & Cost Accounting Specialist

UASI  •  Cincinnati, OH (Onsite)  •  3 hours ago
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Job Description

We are seeking a highly analytical, detail-oriented, and proactive Billing, AR & Cost Accounting Specialist to join our Accounting team. This role will have significant responsibility for producing, managing, and analyzing complex client billings across multiple business units and revenue streams, while also owning the monitoring and collection of outstanding receivables and supporting revenue and cost of sales analysis for each financial period close.

Key Responsibilities

  • Manage complex client billing processes across multiple business units and service offerings to deliver accurate and timely invoicing to clients.
  • Investigate and resolve billing discrepancies, variances, and exceptions.
  • Support month-end close activities related to revenue, billing, accounts receivable, and cost of sales to ensure accurate margins each month by client and business unit. Investigate and provide insights into discrepancies between forecast and actual results.
  • Identify delinquent or at-risk accounts and proactively work with internal teams and clients to resolve outstanding issues in order to collect payment.
  • Analyze the underlying causes of collection delays, including billing errors, contractual issues, disputes, and operational matters in order to drive resolution and prevention of recurring errors.
  • Develop and maintain reporting and metrics to provide visibility into collections performance and cash flow.
  • Partner with client-facing teams and management to escalate and resolve significant collection issues.
  • Continuously evaluate accounting, billing, and reporting processes to identify opportunities to improve efficiency, accuracy, and scalability.
  • Leverage advanced Excel functionality, Power BI, data queries, and other tools to improve data management, transactional efficiency, and reporting.
  • Document processes and develop standardized procedures and controls.
  • Proactively identify problems and implement practical solutions rather than simply working around inefficient processes.
  • Assist with account reconciliations, journal entries, financial reporting, and other accounting analyses as needed.
  • Provide support for special projects, system implementations, process changes, and other initiatives.

Required Qualifications & Skills

  • Bachelor’s degree in Accounting, Finance, Business, or a related field.
  • 3+ years of experience in accounting, revenue accounting, billing, accounts receivable, financial analysis, or a related field.
  • Strong understanding of accounting principles and the relationship between billing, revenue, accounts receivable, and cost of sales.
  • Advanced Excel skills including creating and using excel macros, pivot tables, V-XLookups, etc. and the ability to work with large and complex datasets, create sophisticated formulas, build reporting tools, and efficiently manipulate and analyze data.
  • Strong analytical and problem-solving skills with exceptional attention to detail.
  • Demonstrated ability to identify process inefficiencies and develop practical solutions.
  • Strong organizational skills and the ability to manage multiple priorities and deadlines.
  • Excellent written and verbal communication skills.
  • Ability to work independently as well as cross-functionally, take ownership, and proactively follow issues through to resolution.
  • Experience using Microsoft D365 ERP preferred but not required.

UASI provides a growth environment with opportunities for high achievers to be rewarded. We offer a full benefits package with compensation aligned to contribution and success. Don't miss out on this great opportunity!

UASI

About UASI

Since 1984, UASI has been one of the largest independent healthcare revenue cycle consulting firms in the United States. We are a nationally recognized leader in Health Information Management, delivering solutions that support optimization and strategic alignment across the mid-revenue cycle.

UASI partners with healthcare organizations to strengthen financial, clinical, and operational performance through flexible problem solving and proven expertise. Our services are designed to help clients achieve accuracy, compliance, and efficiency while aligning documentation, coding, and revenue integrity efforts with organizational goals.

UASI is a trusted partner to more than 1,100 hospital facilities and physician groups nationwide, supported by 540 nationally credentialed experts, including CCS, CCDS, CDIP, RHIA, and RN professionals. Our teams consistently deliver results, achieving 96%+ coding accuracy based on third-party audits, and earning recognition as Best in KLAS.

We offer comprehensive services and employment opportunities across Remote Coding, Coding Compliance Review, Education and Training, Clinical Documentation Improvement, HIM and Coding Interim Management, and Revenue Integrity. Our work supports mid-revenue cycle optimization by identifying opportunities, reducing risk, and delivering actionable insight that drives sustainable performance.

Our client base includes top-ranked hospitals recognized for academic excellence, research, quality, and patient care. Through this diverse client portfolio, remote employment opportunities, and multiple service lines, we engineer individualized career paths and promote balance for every employee.

As regulatory complexity and coding demands continue to increase, UASI remains grounded in the core values on which the company was founded, providing strategic, practical solutions that help healthcare organizations produce low-cost, high-quality records with confidence.

Industry
Healthcare & Social Services
Company Size
201-500 employees
Headquarters
Cincinnati, OH
Year Founded
1984
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