Sleepy Eye Medical Center is seeking an Accounts Payable Clerk/Controller Assistant to join the Administration team. This position processes vendor invoices, purchase orders, and check requests. It provides broader accounting support to the Controller/Director of Business & Employee Relations, including general ledger account reconciliations, month-end and year-end close, budget preparation and monitoring, payroll processing, fixed asset recordkeeping, and documentation supporting the annual external audit and Medicare/Medicaid cost report. Key Responsibilities Reviews and processes purchase orders, invoices, statements, vouchers, and check requests; verifies, codes, enters, and posts vendor payments; resolves account discrepancies and vendor inquiries. Assists with month-end and year-end close, including journal entries and general ledger account reconciliations. Assists with preparation of the annual operating budget and monitors budget-to-actual results. Gathers documentation and prepares schedules supporting the annual external audit and the Medicare/Medicaid cost report. Processes payroll, including verifying hours, deductions, and postings; serves as back-up person for payroll. Maintains the fixed asset ledger and prepares depreciation schedules; prepares Form 1099s and maintains vendor tax documentation. Provides general administrative support to the Director of Business & Employee Relations as needed. High school diploma and one year of experience directly related to the duties and responsibilities specified. Experience with general ledger accounting, payroll processing, or month-end close procedures is preferred but not required. Knowledge, Skills, and Abilities Knowledge of general accounting principles, accounts payable procedures, and payroll processing. Ability to reconcile accounts, analyze budget variances, and support audit and regulatory documentation requests. Proficiency with automated accounting systems and spreadsheet software. Strong attention to detail, organizational skills, and ability to work independently under deadline pressure. Ability to maintain confidentiality of financial and personnel information. Strong communication and interpersonal skills. Sleepy Eye Medical Center is seeking an Accounts Payable Clerk/Controller Assistant to join the Administration team. This position processes vendor invoices, purchase orders, and check requests. It provides broader accounting support to the Controller/Director of Business & Employee Relations, including general ledger account reconciliations, month-end and year-end close, budget preparation and monitoring, payroll processing, fixed asset recordkeeping, and documentation supporting the annual external audit and Medicare/Medicaid cost report. The ideal candidate brings strong attention to detail, a working knowledge of general accounting principles, and the ability to work independently and handle confidential financial and personnel information in a fast-paced rural healthcare business office