Accounting Assistant II
Paradigm
Accounting & Finance
Tampa, FL, USA
Posted on Feb 21, 2026
The Accounting Assistant II is responsible for managing accounts receivable activities for our most complex and high-profile accounts. Responsible for the timely and accurate completion of cash applications to ensure accounts payable-related activities are maintained effectively. In addition, responsible for timely and accurate review of all client payments, leading to refund requests and creation of refunds, as well as vendor reconciliation and reconciliation of payment files. Creates and maintains reports as necessary and serves as a liaison to departments to meet the demands for the month-end processes.
DUTIES AND RESPONSIBILITIES:
- Support cash applications in all systems (Adva Pro, CareLink/NetSuite, Fusion, eFusion, and Oracle) to maintain high accuracy and timeliness.
- Handle overpayment journal entries and work the overpayment sheet from the cash application side, ensuring refunds are lined up appropriately in the Home Care Connect (HCC) System.
- Assist with Audit requirements for cash application-pulling EORs and other documentation needed within a 24-48 period of request.
- Minimize newly created unapplied cash through proactive identification and resolution. Ensure 85% of new items are worked on and resolved within the week of receipt.
- Review Account Receivable discrepancies to include overpayments, short payments, and denials.
- Enter and review credits and adjustments in the appropriate system for a valid reason.
- Access remittances to review and determine the reason and handle according to the process and policy.
- Evaluate and recommend process improvements to increase efficiency in applying and reconciling daily and monthly cash flow.
- Create documentation of short payment/denial for review and handling.
- Maintain correspondence received from clients and providers for proper handling.
- Thoroughly review open accounts and any issues before contacting the client.
- Provide excellent customer service regarding payment issues or trends, review and resolve discrepancies and identify short payments.
- Responsible for monitoring and maintaining high-profile accounts; customer calls, emails, and open AR reporting, account adjustment recommendations.
- Work closely with the departmental management as well as other internal departments when
necessary to resolve aged accounts.
- Weekly and monthly reporting to the direct supervisor.
- Work closely with management in creating trend reports.
- Assist the supervisor in creating/updating departmental policies.
- Maintain confidentiality and integrity of PHI in line with HIPAA and internal Privacy and
Information Security policies.
- Responsible for complying with Paradigm IT security requirements and policies.
- Responsible for safeguarding Paradigm or Paradigm-related IT passwords.
QUALIFICATION REQUIREMENTS:
- An Associate Degree in Business or equivalent, and minimum of five years of proven success in Finance or Collections.
- Medical Billing experience including reasons for denial, fee schedules, etc.
- Accounts Receivable experience required.
- Understanding of Accounts Receivable and Collections, in a business-to-business environment.
- Analytical/Problem Solving Skills.
- Data Entry Skills
- Knowledge of Billing and Collection Procedures.
- Proven success in reducing DSO and collections.
- Medical collections experience preferred.
- Ability to deal effectively with individuals at all organizational levels
- Proven ability to handle multiple projects while meeting deadlines
- Ability to read and comprehend simple instructions, short correspondence, memos, and other documentation
- Commitment to excellence, high standards and attention to detail
- Ability to work independently and as a member of various teams and committees.
- Excellent communication, both verbal and written.
- Must be able to speak, read, write, and understand the primary language(s) used in the workplace: English
- Technical Capacity including advanced knowledge of Microsoft Excel and familiarity with Microsoft Access
- Commitment to excellent customer service.