Sr Accountant

About Rotech

Join a Leader in Home Healthcare

At Rotech Healthcare Inc., we're more than a medical equipment provider-we're a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives.

Explore more about our mission and services at Rotech.com.

Overview and Responsibilities

Rotech Healthcare is seeking an experienced Senior Accountant, with Revenue Accounting experience to support the Company's revenue recognition, financial reporting, reimbursement analysis, and month-end close processes. This position plays a critical role in ensuring the integrity of revenue reporting across Medicare, Medicaid, commercial insurance, Veterans Affairs, and patient-pay revenue streams associated with durable medical equipment (DME), respiratory therapy, sleep therapy, and other home healthcare services.

The Senior Accountant will partner closely with Revenue Cycle, Billing, Collections, Operations, Reimbursement, and Finance teams to analyze revenue trends, maintain accounting compliance, enhance financial controls, and support strategic business initiatives. The ideal candidate will possess strong technical accounting knowledge, healthcare reimbursement experience, and a proactive approach to process improvement.

Essential Duties and Responsibilities

Revenue Accounting & Financial Reporting

• Perform monthly revenue accounting close procedures, including journal entries, reconciliations, accruals, and financial analyses.
• Prepare and review revenue-related balance sheet reconciliations and investigate reconciling items.
• Analyze revenue transactions to ensure compliance with U.S. GAAP and company accounting policies.
• Monitor revenue recognition associated with recurring rentals, equipment sales, service revenue, and healthcare reimbursement activities.
• Support monthly, quarterly, and annual financial reporting requirements.
• Assist with the preparation of audit schedules and support external and internal audits.

Healthcare Revenue & Reimbursement Analysis

• Analyze Medicare, Medicaid, commercial insurance, Veterans Affairs, and patient-pay revenue streams for accuracy and completeness.
• Review reimbursement, contractual adjustments, denials, write-offs, and revenue trends.
• Partner with Revenue Cycle Management, Billing, and Collections teams to identify and resolve revenue discrepancies.
• Monitor unbilled revenue, revenue accruals, and other key revenue cycle metrics.
• Evaluate reimbursement changes and assess financial impacts to revenue recognition and reporting.
• Support gross-to-net revenue analyses and related reporting.

Internal Controls & Process Improvement

• Develop and maintain documentation for revenue accounting procedures and internal controls.
• Identify opportunities to improve accounting processes, reporting automation, and operational efficiencies.
• Participate in ERP, billing system, and financial reporting system implementations and enhancements.
• Ensure compliance with company policies, accounting standards, and regulatory requirements.

Analytics & Business Support

• Prepare financial models, trend analyses, and management reports related to revenue performance.
• Assist leadership with budgeting, forecasting, and variance analyses.
• Collaborate with Operations leadership to explain revenue performance and reimbursement trends.
• Support acquisition integrations, special projects, and strategic initiatives.

Leadership & Collaboration

• Review and provide guidance to staff accountants as needed.
• Serve as a key resource for accounting and revenue-related questions.
• Foster strong working relationships across Finance, Billing, Revenue Cycle, Operations, and IT teams.

Qualifications

Employment is contingent on

• Background check (company-wide). Results will not be used automatically to disqualify individuals. Instead, the Company will conduct an individualized assessment that considers the duties of the position, the nature and timing of the offense, and any evidence of rehabilitation, in accordance with applicable laws.
• Drug screen (when applicable for the position)
• Compliance with healthcare facility credentialing process (when applicable for the position)
• Valid driver's license in state of residence with a clean driving record (when applicable for the position)

Qualifications

Required Education and Experience

• Bachelor's degree in Accounting or Finance.
• Minimum of five (5) years of progressive accounting experience.
• Minimum of three (3) years of revenue accounting experience.
• Experience with healthcare reimbursement, revenue cycle accounting, or related financial reporting.
• Strong understanding of U.S. GAAP.
• Advanced Microsoft Excel skills including pivot tables, lookups, and data analysis.

Preferred Qualifications

• CPA designation preferred.
• Public accounting experience preferred.
• Experience in healthcare, home healthcare, DME, respiratory services, medical billing, or reimbursement environments strongly preferred.
• Experience with ERP systems, financial reporting software, and data analytics tools.

Knowledge, Skills and Abilities

• Strong understanding of healthcare revenue recognition and reimbursement methodologies.
• Knowledge of Medicare, Medicaid, commercial insurance, and patient-pay billing concepts.
• Exceptional analytical, problem-solving, and critical-thinking skills.
• Ability to work with large datasets and identify trends, risks, and opportunities.
• Strong attention to detail and commitment to accuracy.
• Excellent written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
• Ability to maintain confidentiality and exercise sound judgment.

Key Performance Expectations

• Accurate and timely completion of month-end close activities.
• Timely reconciliation and resolution of revenue-related variances.
• Improved visibility into reimbursement and revenue trends.
• Strong audit compliance and internal control execution.
• Identification and implementation of process improvements that enhance efficiency and reporting accuracy.

Rotech Information

Benefits

• Generous paid time off and paid holidays

• Overtime pay for non-exempt positions (as applicable)

• Commission for Account Executives

• Bonus and incentive opportunities

• Fixed and variable car reimbursement for Area Managers and Account Executives

• Car, mileage, and telephone reimbursement (as applicable)

• Employee discount and recognition programs

• Employee Assistance Program (EAP)

• 401(k), HSA, and FSA/Dependent Care FSA

• Medical, prescription, dental, and vision coverage

• Life insurance, disability, accidental death, identity protection, and legal services

• Meru Health mental health and Mercer SmartConnect Medicare programs

• Livongo Diabetes and High Blood Pressure programs

• Healthcare Bluebook and RX Savings Solutions programs

• Hepatitis B (HEPB) and TB vaccinations

Make the right move-submit your resume today. Hiring managers review resumes and contact applicants whose experience aligns with the position. To check the status of a role you've applied for, Sign into your account.

All positions are posted for a minimum of five (5) days and remain open until filled by a qualified applicant, generally no longer than 200 days. Thank you for your interest in Rotech Healthcare Inc.

Florida applicants - Background screening is required through the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.