Financial Controller / Senior Bookkeeper

Financial Controller / Senior Bookkeeper Madison Medical Madison, NJ Job Details Full-time $60,000 - $75,000 a year 3 days ago Benefits Dental insurance Vision insurance 401(k) matching Opportunities for advancement Life insurance Qualifications Revenue cycle management Microsoft Excel Tooling Accounting experience within healthcare industry Microsoft Office Finance Bachelor's degree QuickBooks Online Accounting QuickBooks Healthcare financial management Productivity software AI-driven automation Automation tools Accounting Financial process automation Healthcare accounting Full Job Description About the Role Madison Medical Sports & Wellness is a fast-growing, multi-specialty ambulatory care platform scaling toward $25M+ in annual revenue. We are building a modern, tech-forward finance function and are looking for a sharp, energetic, highly tech-savvy Financial Controller to own day-to-day accounting and grow with the company. This is a hands-on role for someone who automates the routine, surfaces insights proactively, and manages up not someone who waits to be asked. Core Responsibilities AP controls & vendor management: Manage invoice intake, coding, approval workflows, vendor setup, W-9 collection, payment scheduling, duplicate-payment prevention, and 1099 support. Keep the practice current with every vendor. Purchasing & buyer support: Coordinate vendor purchasing, compare pricing where appropriate, track recurring supplies, maintain inventory par levels, help avoid stockouts and over-ordering, and support a more disciplined purchasing process.

Full-cycle bookkeeping:

Maintain the general ledger in QuickBooks Online (QBO), post transactions accurately, and ensure books are consistently up to date.

Month-end close:

Own a clear monthly close checklist — bank and credit card reconciliations, accruals, prepaids, payroll entries, balance sheet support — and deliver clean financial statements on time each period. Financial statements & reporting: Prepare and reconcile the three core statements (P&L, balance sheet, and cash flow). Deliver clean monthly reports and manage-up dashboards without being asked; flag spend anomalies, cost-savings opportunities, and variances before they become problems.

Cash visibility:

Maintain daily awareness of cash balances, deposits, EFT/ACH activity, merchant deposits, upcoming payments, and short-term cash needs.

Healthcare revenue reconciliation:

Reconcile patient payments, insurance and EFT deposits, merchant-processor activity, and practice-management / EMR reports to QBO across all service lines.

Payroll support:

Cover payroll processing as needed (interim / backup). Internal controls & documentation: Maintain clean records, audit trails, and controls around vendor payments, purchasing, reconciliations, and reporting. Vendor & expense discipline: Plan recurring spend (e.g., team lunches, supplies) on a rolling 3-month basis so nothing is reactive or last-minute. Where This Role Is Headed As we scale toward a $25M+ company, the right person will help move us from cash-basis toward accrual accounting. A working understanding of cash-to-accrual conversion from an accountant's perspective is important for growth into this role. What We're Looking For Solid accounting background — you already know how to do this work and can be fully live within about a month with minimal hand-holding. Strong QuickBooks Online (QBO) experience is essential. Very strong technology fluency — comfortable with modern accounting platforms, automation, and AI tools, and eager to use them to work faster and better. This is a hard requirement.

Forward-thinking and proactive:

you take initiative, bring ideas, and manage up rather than waiting for direction. Comfortable reconciling the three financial statements and explaining the numbers. Working understanding of cash-to-accrual concepts. Purchasing mindset and inventory reconciliation experience a plus. Organized and self-directed — you run a clear daily/weekly routine of checks and balances without being prompted. A relevant degree (e.g., accounting/finance) and current training in today's tools is welcome; recent graduates with strong QBO and AI/automation skills are encouraged to apply. Who Will Thrive Here You're someone who would rather build a clean, automated report once than answer the same question fifty times. You spot the $700 line item before anyone has to ask about it. You're collaborative and easy to work with across the team, you take ownership, and you want to grow with a company that is scaling fast.

Details Schedule:

Full-time, on-site at our Madison, NJ facility.

Process:

Initial vetting, interview (including scenario-based questions on real situations), and verification of certifications and platform/AI experience. Strong candidates may begin with a 2-3 month trial period to confirm fit.

Compensation:

Competitive and commensurate with experience and skill set.

To apply:

Submit your resume and a brief note on the accounting platforms and AI tools you use. Key Responsibilities Oversee all accounting transactions and maintain accurate financial records across locations. Manage AR/AP, general ledger, reconciliations, and month-end close. Prepare financial statements, budget-to-actual reports, and variance analyses. Provide strategic financial insights rooted in healthcare metrics and operational performance. Maintain compliance with GAAP, healthcare regulations, and internal controls. Collaborate with RCM team to optimize revenue streams and ensure financial integrity. Support external audits and maintain robust documentation. Contribute to strategic planning, forecasting, and long-term financial modeling. Qualifications Bachelor's degree in Accounting, Finance, or a related field; CPA/CMA preferred. Proven accounting experience, ideally within healthcare . Strong understanding of financial statements, accounting principles, and healthcare financial operations. High integrity, confidentiality, and attention to detail. Expert-level skills in QuickBooks Enterprise, MS Office, and Excel. Strong organizational skills and ability to handle multiple priorities. Why Join Us? Advance your career in healthcare finance with exposure to revenue cycle, clinical operations, and multi-site leadership. Make a meaningful impact by supporting the financial health of medical centers that serve the community. Work with a collaborative, forward-thinking leadership team that values innovation and professional growth. Competitive compensation, benefits, and advancement opportunities. High-impact role with influence over financial processes, systems, and organizational growth.

Job Type:

Full-time Pay:

$60,000.00 - $75,000.00 per year

Benefits:

401(k) matching Dental insurance Life insurance Vision insurance

Experience:

Accounting:

5 years (Required)

Microsoft Office:

4 years (Required)

QuickBooks:

6 years (Required) healthcare accounting and management : 5 years (Required)

Work Location:

In person