Sr Accountant

Overview

Job Title: Sr Accountant
Department: Finance/Accounting
Work Arrangement: Remote (Texas residence required)

This role monitors and maintains the organization’s General Ledger accounts and business transactions in accordance with Generally Accepted Accounting Principles (GAAP). Responsibilities include analytical review of financial records, preparing journal entries and reconciliations, performing variance analysis for interim financial statements, and supporting ad-hoc reporting. The position also supports internal and external customer service, including training/instruction on General Ledger usage.

The Sr Accountant prepares monthly, quarterly, and annual Health System financial consolidations, eliminating entries and supporting footnote and MD&A preparation. Additional scope includes investment, debt, and pension/retirement accounting, including preparation of related annual financial statements. The role reviews and approves certain balance sheet reconciliations prepared by the staff accountant and may coordinate with external audit staff as needed.

Responsibilities

• Prepare and analyze net patient revenue reporting, including reserve methodology calculations, reconciliations, financial schedules, and Crowe Revenue Cycle Analytics (RCA) reporting.
• Partner with Revenue Integrity, Managed Care, Finance, and accounting teams to identify trends, investigate variances, support accurate reserve calculations, and ensure reliable financial reporting.
• Prepare monthly, quarterly, and annual consolidated Health System financial statements, including schedules, footnotes, and MD&A in accordance with GAAP.
• Prepare monthly eliminating entries for Health System financials.
• Review, reconcile, and prepare monthly entries related to investments and debt for the Health System.
• Prepare pension, benefit, and single audit financial packages and audit schedules; coordinate information gathering from internal and external customers; and respond to auditor inquiries.
• Prepare and post monthly journal entries according to established guidelines and timeframes.
• Perform monthly account variance analysis for balance sheet and income statement accounts for the financial review process; prepare and record adjusting entries as necessary.
• Prepare audit schedules and answer audit questions as needed.

Requirements

• At least 3–5 years of related experience required.
• Bachelor’s Degree required.

Preferred Qualifications

• At least 2 years Healthcare industry experience.
• At least 2 years intermediate to advanced knowledge of Excel functions.
• Certified Public Accountant (CPA) preferred.

Compensation & Benefits

• Employee portion of medical plan premiums are covered after 3 years.
• 4%–10% employee savings plan match based on tenure.
• Paid Parental Leave (up to 12 weeks).
• Caregiver Leave.
• Adoption and surrogacy reimbursement.

Location

Remote position with Texas residence required.

Equal Opportunity Statement

The employer is an equal opportunity employer and does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information, or any other Federal or State legally-protected status or class. This applies to all aspects of the employment relationship, including but not limited to recruitment, hiring, promotion, transfer, pay, training, discipline, workforce adjustments, termination, employee benefits, and other employment-related activities.