We are seeking a highly skilled and experienced Revenue Accountant to be a key member of our quickly growing Revenue Team. The Revenue Accountant will be proficient working independently, coordinating with their accounting peers, and maintain strong relationships both internally and externally. The ideal candidate will possess strong organizational skills, and a deep understanding of best practices around processes, systems, and resourcing for revenue accounting. As a result, you will gain exposure to senior-level decision making and develop lasting relationships across the company.

The ideal candidate will have a forward-thinking approach to efficient accounting processes in a fast paced, high growth environment and the ability to clearly communicate deliverables and recommendations. This role reports to the Revenue Accounting Manager.

Job Description
 

Accelerate Your Career as You

• Perform month-end duties including account reconciliation, computation of revenue/deferred revenue, accrual estimates, and review of revenue trends.

• New systems implementation/integration work to enhance and automate our processes

• Manage and monitor AR, create metrics/dashboards, internal and external communications.

• Maintain and update internal control design and documentation in the "order to cash" cycle.

• Perform daily, weekly, and ad-hoc duties related to incoming collections and billing.

  • Daily monitoring incoming Accounts Receivable collections and GL applications.

  • Weekly AR Aging review for identified payors.

  • Review of cash collections.

  • Daily/Monthly invoicing and cash application for invoiced clinics.

  • Monthly close journal entries and reconciliations.

  • Identification of new revenue streams as needed- including sourcing required data support, appropriate GL application, journal entry/reconciliation ownership and completeness for financial review.

• Interact with external auditors to gather relevant support and ensure compliance with internal controls.

• Prepares period end close schedules and reporting for the Revenue accounting team.

• Interact with key stakeholders outside of accounting including- members of the Alto Finance Team, internal Project Managers for contractual invoiced clinics, and external invoiced customer billing teams.

• Maintain and review complex schedules to ensure accuracy of open Accounts Receivable balances.

• Review and enhance the monthly balance sheet account reconciliations on an ad-hoc basis for Revenue related accounts and assists the Finance Team in researching differences.

• Use financial and accounting experience and acumen to analyze and interpret data to make any recommendations on possible courses of action as appropriate.

• Effectively engage with the team to successfully complete multiple and diverse deliverables.

• Develop, implement and maintain desktop procedures for on-going revenue accounting activities.

A Bit About You

Minimum Qualifications:

• 4+ years as a revenue accountant or a similar role, demonstrating progressive responsibility and leadership in revenue accounting functions, preferred 2+ years in a public accounting role.

• Experience with Sage Intacct, Inmar, and Floqast.

• Thorough knowledge of accounting principles, financial systems, and best practices in accounts receivable processes and controls.

• Advanced proficiency in Microsoft Word and Excel.

• Very detail oriented, comfortable with large data sets, analytical thinker.

• Ability to effectively work across teams, both within the accounting functions, and across the organization.

• Ability to multitask and prioritize work; work well under pressure to meet deadlines – must be passionate about getting into the details to solve problems.

• A passion for Alto’s mission and values!

Preferred Qualifications: 

• Experience with ERP system implementation & integrations is a strong plus.

• CPA or equivalent.

• Healthcare experience.

• In-house GL management.

• Experience with G Suite and Microsoft Office.

Additional Information
 

Additional Physical Job Requirements

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits 

Salary Range: $99,040 - 123,800

Commission Eligible: No

Travel: No - Required up to 0% of the time  

Location Requirement: Employment at Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 11 paid holidays (seven for Pharmacy and Care team members), and eight weeks of paid parental leave for eligible employees.
 

Application deadline: October 12, 2025 

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Alto Pharmacy is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at CandidateHelp@alto.com.

Alto Pharmacy considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, and New York City Fair Chance laws. We are an E-Verify participating company.

Alto Pharmacy recruiters and hiring managers may use automated decision-making tools to assist with identifying candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. If you have any questions or would like to request an alternative process, please contact us at CandidateHelp@alto.com. To learn about Alto Pharmacy's privacy practices including compliance with applicable privacy laws, please click here.