Senior Accountant

Overview

The Senior Accountant is responsible for managing complex accounting processes, preparing and analyzing monthly balance sheet and income statement activities, and overseeing client billing, revenue recognition, and receivables in accordance with contractual requirements. This role applies advanced accounting principles to support accurate financial closing and reporting, collaborating with internal and external stakeholders such as banking partners, auditors, and the Board of Directors to ensure financial information integrity.

Responsibilities

• Record cash receipts and manage client account billing and receivables according to contract terms.
• Manage merchant accounting processes and reconcile credit card payments accepted on behalf of patients within client accounts.
• Allocate corporate costs to appropriate subsidiaries.
• Administer client pricing updates and billing arrangements through coordination with Operations and Sales teams.
• Prepare and analyze general ledger account reconciliations, maintain supporting schedules, research and resolve variances.
• Prepare and post complex journal entries ensuring accuracy and compliance with company policies and GAAP.
• Process vendor ACH payments and support treasury activities during month-end close with appropriate approvals and controls.
• Manage accounting aspects of Independent Dispute Resolution (IDR) payment processes, including mediator payments, reconciliations, and reporting.
• Participate in implementation, testing, maintenance, and enhancement of financial systems, including software upgrades and process improvements.
• Collaborate with internal departments, clients, and external vendors to resolve accounting, billing, payment, and financial reporting issues.
• Prepare monthly financial statements, reconcile bank accounts and subsidiary ledgers, analyze journal entries and account activity.
• Investigate variances and perform budget-to-actual analyses.
• Maintain fixed asset accounting including acquisitions, depreciation, and disposals.
• Partner with operating departments to strengthen financial controls, improve accounting processes, and support budgetary and financial management.
• Support annual financial statement audits, 401(k) audits, corporate tax filings, and other regulatory reporting.
• Perform other duties as assigned.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field; or equivalent education and work experience.
• 4-7 years of progressive accounting experience.
• Experience with accounting/ERP systems, preferably Sage Intacct or QuickBooks Enterprise, including integrations with payroll, expense management, treasury, or other financial systems.
• Strong knowledge of Generally Accepted Accounting Principles (GAAP), general ledger accounting, chart of accounts structure, financial reporting, and account reconciliation.
• Working knowledge of payroll accounting and related transactions.
• Strong analytical and problem-solving skills with ability to identify discrepancies, research issues, and recommend solutions.
• Ability to work independently, manage multiple priorities, and meet deadlines with minimal supervision.
• Advanced proficiency in Microsoft Excel, including PivotTables and data analysis tools; proficiency with Microsoft Office applications.
• Excellent written and verbal communication skills with ability to collaborate effectively across departments and with external stakeholders.
• Demonstrated ability to handle confidential financial and company information with discretion and professionalism.
• Proficiency in English for job-related communication, including understanding policies, writing correspondence, and engaging with colleagues or clients.

Work Environment

• General office environment.
• Tasks include typing, sitting, standing, and some light lifting.
• Ability to operate PC, printer, copier, fax, and phone.
• Ability to work under time pressure and meet departmental deadlines.

Additional Information

• Reasonable accommodations will be provided to qualified individuals with disabilities to support essential functions.
• The job description is subject to change to meet business needs and does not constitute an employment contract.
• Applicants must be authorized to work in the United States now and in the future; this role does not offer visa sponsorship.
• The position will remain open until filled.