Accounting Assistant

Overview

Position: Accounting Assistant (Remote)

Department: Home Office (Candidates must reside in Rhode Island or Massachusetts)

Supervisor: Accounting Manager

Employment Type: Full-time, Exempt (Administrative)

Salary: $50,000 - $65,000 annually (benefits eligible)

Start Date: Contingent upon background check, August or September 2026

Position Summary

This role supports the Finance team by managing day-to-day transactional accounting functions including Accounts Payable, Accounts Receivable, and cash management. Reporting directly to the Accounting Manager, the Accounting Assistant collaborates with cross-functional teams to ensure accurate and timely financial processing and reporting. This is a fully remote position requiring strong attention to detail, organization, and the ability to manage multiple priorities in a fast-paced healthcare environment. Candidates must currently reside in Rhode Island or Massachusetts.

Responsibilities

Accounts Payable & Vendor Management

• Enter and process vendor invoices accurately and timely
• Maintain vendor records including onboarding, updates, and compliance documentation
• Assist with payment processing ensuring proper coding and approvals

Accounts Receivable & Billing

• Prepare and distribute monthly Piccoli Family Office invoices
• Assist with quarterly Common Area Maintenance (CAM) invoice preparation
• Support accounts receivable tracking and reconciliation activities as needed

Cash Management

• Record and reconcile daily cash receipts across multiple clinics
• Maintain and track daily cash receipts journals for each location
• Communicate weekly bank balances to Finance leadership
• Ensure accurate posting of all cash receipt activity

Credit Card & Payment Processing

• Allocate and reconcile company credit card transactions
• Record credit card payments in the accounting system
• Ensure proper documentation and adherence to company policies

Third-Party & EHR Posting

• Post third-party payments within the Electronic Health Record (EHR) system based on reporting outputs
• Ensure accurate linkage between accounting records and billing systems
• Collaborate with the Revenue Cycle team to resolve discrepancies

Regulatory & Periodic Reporting

• Prepare and file annual 1099 forms in compliance with IRS requirements
• Assist with audit support and documentation requests as needed

Financial Reporting Support

• Compile and distribute weekly Financial Vital Signs reports to key stakeholders
• Support ad hoc reporting and analysis requests

Reporting Structure

• Reports to: Accounting Manager
• Works cross-functionally with: Revenue Cycle, Clinic Operations, and Infrastructure teams

Qualifications

Required:

• Minimum 2 years of accounting or bookkeeping experience
• Strong understanding of basic accounting principles including Accounts Payable, Accounts Receivable, and cash applications
• Experience with accounting software and Microsoft Excel
• High attention to detail and strong organizational skills
• Ability to manage recurring deadlines and multiple workflows
• Must reside in Rhode Island or Massachusetts

Preferred:

• Experience in healthcare, multi-location environments, or family office accounting
• Familiarity with EHR systems and third-party payment posting
• Experience with 1099 preparation and CAM billing

Key Competencies:

• Detail-oriented with a high degree of accuracy
• Strong time management and prioritization skills
• Effective written and verbal communication
• Ability to work independently in a remote environment
• Collaborative mindset across departments

Compensation and Benefits

• Salary Range: $50,000 – $65,000 annually

Benefits include:

• Generous paid leave
• Eleven paid holidays
• Medical, dental, and vision insurance
• Company-sponsored life and disability coverage
• 401(k) retirement plan with company match
• Employee Assistance Program
• Additional supplemental insurance options
• Professional development opportunities

Location

This is a fully remote position; however, candidates must reside in Rhode Island or Massachusetts. Occasional travel may be required to locations in Massachusetts or Maine for work-related events such as open houses or team building, sometimes involving overnight stays.