Position: Senior Accountant
Location: Chennai or Madurai (Work from Opti Sol 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 solid 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 effi

📌 Senior accountant (Chennai)
🏢 Optisol Business Solutions
📍 Chennai