Senior Accountant (Healthcare)

Key Responsibilities

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Manage accounting engagements for a portfolio of small to mid-sized healthcare clients, including physician and dental practices.

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Oversee month-end close activities, general ledger accounting, and financial reporting.

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Prepare and review bank, credit card, loan, and balance sheet reconciliations.

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Review standard journal entries and prepare complex adjusting entries.

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Analyze financial activity, investigate discrepancies, and identify significant variances.

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Oversee accounts payable, customer invoicing, accounts receivable, and collections activities.

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Prepare and review monthly financial statements and management reporting packages.

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Maintain depreciation and amortization schedules.

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Perform budget-to-actual variance analyses and assist with budgeting and forecasting.

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Support cash flow projections and financial planning activities.

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Prepare and file complex 1099 reporting.

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Assist with grant accounting, invoicing, and financial reporting when applicable.

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Serve as a primary point of contact for client accounting questions and financial matters.

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Identify opportunities to improve accounting processes, reporting accuracy, and operational efficiencies.

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Provide guidance and mentorship to junior accounting professionals.

Required Qualifications

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Bachelor's degree in Accounting, Finance, or a related field, or equivalent experience.

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Minimum of 4 years of progressive accounting experience.

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Experience working with healthcare organizations, particularly physician and/or dental practices.

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Strong understanding of general ledger accounting, reconciliations, month-end close, and financial statement preparation.

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Ability to independently manage multiple accounting responsibilities and deadlines.

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Strong analytical, organizational, and problem-solving skills.

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Excellent communication and client relationship management skills.

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Ability to communicate financial information clearly to non-accounting professionals.

Preferred Qualifications

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Experience in public accounting, Client Accounting Services (CAS), or outsourced accounting.

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Experience managing multiple client engagements simultaneously.

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CPA designation or other advanced accounting certification.

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Experience with cloud-based accounting systems, automation tools, and financial reporting software.

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Experience supporting budgeting, forecasting, and cash flow management.

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Experience mentoring or reviewing the work of junior accounting staff.