Senior Accountant

Position Summary The Senior Accountant is responsible for performing advanced accounting functions to ensure the accuracy and integrity of the practice's financial records. This role focuses on financial statement preparation, general ledger management, fixed asset tracking, depreciation, and overall financial reporting. In addition, the Senior Accountant supports oversight and analysis of billing, collections, and insurance-related financial activity to ensure accuracy, efficiency, and proper revenue recognition.

Reports To:

CEO Supervisory Responsibilities:

None Essential Functions:

Accounting & Financial Reporting Maintain and reconcile the general ledger, ensuring accuracy and completeness of all financial transactions Prepare monthly, quarterly, and annual financial statements, including balance sheet, income statement, and cash flow statements Perform monthly account reconciliations, including bank reconciliations and key balance sheet accounts Manage and maintain the fixed asset ledger, including capitalization, disposals, and transfers Calculate and record monthly depreciation and amortization in accordance with GAAP Ensure proper classification and recording of capital expenditures vs. operating expenses Support month-end and year-end close processes, ensuring timely and accurate reporting Maintain documentation and schedules for audit readiness and financial reviews Assist with financial analysis and variance reporting Support budget preparation and tracking as needed Billing, Collections & Insurance Financial Oversight Monitor and analyze billing, collections, and reimbursement activity to ensure accuracy and completeness of revenue Reconcile practice management/EHR billing reports to the general ledger and financial statements Review accounts receivable trends, aging reports, and collection performance; identify variances and recommend corrective actions Analyze payer reimbursement patterns, denials, and adjustments to ensure appropriate revenue recognition Assist in ensuring proper posting of charges, payments, and adjustments in coordination with billing staff Support evaluation of third-party payer contracts and reimbursement rates from a financial perspective Identify and report on revenue cycle inefficiencies or discrepancies Collaborate with billing and insurance teams to improve accuracy, cash flow, and financial reporting alignment Compliance & Controls Ensure compliance with internal controls, accounting policies, and healthcare regulatory requirements Assist with maintaining proper documentation for audit and compliance purposes Support accurate reporting related to cash management and revenue tracking General Responsibilities Assist leadership with financial data requests, reporting, and analysis Maintain strict confidentiality of all financial and patient-related information Perform other duties as assigned by leadership

Qualifications Education:

Bachelor's degree in Accounting, Finance, or Business Administration required. Master's degree or CPA preferred.

Experience:

Minimum of 4-7 years of progressive financial management experience in a healthcare or medical practice setting. Skills and Competencies Strong understanding of GAAP and financial reporting standards Working knowledge of healthcare billing, collections, and reimbursement processes Proficiency in accounting software, EHR/practice management systems, and Excel Experience with fixed asset accounting and depreciation schedules High attention to detail and accuracy Strong analytical and problem-solving skills Ability to identify financial trends and operational inefficiencies Strong organizational and documentation skills Ability to communicate financial information clearly to leadership

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person