Revenue Accountant at Alto Pharmacy

| Greater Denver Area
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About Alto

We’re building a new kind of pharmacy to cure one of our healthcare system’s most startling ills: over 50% of prescriptions are never picked up. Because staying on track with doctor’s orders requires more than just delivering pills, we’re managing everything from insurance logistics to pricing, late-night questions to supply chain, and anything else that could stand in the way of effective treatment. Our more than 800 employees are dedicated to fulfilling medicine’s true purpose: to improve the quality of life for everyone who needs it. We’ve filled over 1 million prescriptions to date. To aid our calling, we’ve raised $354 million in funding, and we’re on track to achieve $1 billion in annual recurring revenue (ARR) by 2021. Join us as we prove just how much a pharmacy can deliver.

About the Team

Alto is building the world's most patient-centric, tech enabled pharmacy, and we are seeking a strategic, operational minded individual to be a key member of our quickly growing Accounting team. In this role, you will be a member of the Revenue Accounting team and will hit the ground running. You will be actively responsible for ensuring our Accounts Receivable processes and reporting are accurate and in adherence to our revenue recognition policy. You’ll also work both autonomously and in collaboration with the revenue and billings team to drive impact each day. 

Reporting to the Corporate Accounting Manager, the Revenue Accountant will be tasked with performing daily and monthly AR/collections and revenue recognition tasks responsible for making recommendations to improve processes to ensure scalability and tight internal controls. In addition to having experience, you thrive working in a fast-paced and ever-changing environment. You are willing to roll up your sleeves and do whatever it takes to get the job done because you care about the success of the team as a whole.

Accelerate your Career as You:
  • Reconcile accounts receivable and investigate discrepancies by downloading data from banks, suppliers, and other portals as necessary and utilizing excel to reconcile payment information with internal revenue data
  • Work with our Corporate Accounting Manager/Controller to review contracts and determine appropriate accounting treatment under 6060
  • Prepare invoices in accordance with customer agreements
  • Reconcile cash receipts and deposits with data from point of sale system 
  • Prepare AR aging reports and assist with developing processes for timely analysis of reports, as well as procedures resolving any issues the reporting may surface
  • Perform month-end close activities associated with AR including preparation of monthly journal entries and account reconciliations 
  • Take responsibility for maintaining continuous follow ups with internal team members to obtain timely payment on failed transactions and resolve undistributed cash
  • Identify outstanding aging balances and accounts that need to be written-off to uncollectible
  • Communicate effectively within the team, outsourced providers, and external customers
  • Manage multiple systems to ensure clean accounts receivable aged reporting
  • Communicate, respond to, and follow up on requests from offshore accounting team
  • Appropriately escalate issues and ensure timely resolution
  • With the guidance of the Corporate Accounting Manager, work with the engineering and billings teams to develop and strengthen Revenue/AR IT processes
  • Work with internal finance to develop and execute internal controls over Revenue/AR
  • Work with internal finance and external auditors to compile support and answer questions for YE audits
  • Fulfill other duties, as assigned
A Bit About You:
  • Minimum three years experience in AR or public accounting role
  • Associates Degree or an equivalent combination of education and/or experience 
  • Proficient in Excel and working with large data sets
  • Experience in the full Accounts Receivable and Collections cycle (strong plus if in the healthcare industry)
  • Experience in high volume receivables
  • Thorough knowledge of applicable accounts receivable/general ledger systems, internal controls, procedures, financial chart of accounts, and corporate procedures
  • Strong problem solving skills with the ability to manage multiple projects simultaneously
  • Meticulous attention to detail and effective communication skills (verbal and written)
  • Strong proficiency with Microsoft Word, Excel, and other office software applications
  • Experience in high-growth, fast-paced companies (strong plus) 

Alto Pharmacy is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

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Technology we use

  • Engineering
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    • GolangLanguages
    • JavaLanguages
    • PythonLanguages
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    • ReactLibraries
    • Ruby on RailsFrameworks
    • PostgreSQLDatabases
    • SnowflakeDatabases
    • AsanaManagement
    • JIRAManagement


Golden Triangle area just south of downtown Denver

An Insider's view of Alto Pharmacy

How would you describe the company’s work-life balance?

Work/life balance is definitely encouraged at Alto! I never have to think about work on my weekends, and my boss has even reminded me that I haven't taken a vacation day in a while and to be sure to use some or take a long weekend.

Scott Carmichael

Software Engineer, Infrastructure

What projects are you most excited about?

I am excited about empowering our data scientists to perform both ad-hoc and repeatable analysis using our Snowflake data warehouse (loaded via dbt + Airflow). Our business users are leveraging the same reliable data sources to gain insights via Looker. Most rewarding: we are actively using data in our mission to fulfill medicine’s true purpose.


Software Engineer, Data Engineering

How does the company support your career growth?

Alto enables me to work on projects I find interesting and technically engaging. I’ve been able to work on a variety of projects ranging from integrating our pharmacy management software with external EHR systems to setting up a modern data infrastructure from scratch.

Le Qi

Software Engineer, Data Engineering

What is your vision for the company?

It’s really easy to assume that Alto Pharmacy just delivers medications, but it goes beyond this when you have patients who are bed bound or who don’t know how to navigate the medical field by themselves. We support you in navigating this tricky realm, we ensure that adherence is more feasible, and the healthcare experience is transparent.


Patient Care Lead

What are Alto Pharmacy Perks + Benefits

Alto Pharmacy Benefits Overview

As an employee of Alto Pharmacy, we couldn’t be effective in achieving our mission without you. That’s why we’re continually looking for ways to enhance your employee experience, with benefit programs and perks that allow you to be successful in your work. Whether it’s caring for your loved ones, staying healthy, or creating opportunities for a better work-life balance, we want to provide you with meaningful support mechanisms.

Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Open office floor plan
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Diversity manifesto
Someone's primary function is managing the company’s diversity and inclusion initiatives
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Retirement & Stock Options Benefits
Company Equity
Child Care & Parental Leave Benefits
Generous Parental Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Some Meals Provided
Fitness Subsidies
Professional Development Benefits
Diversity Program
Cross functional training encouraged
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