Staff Accountant

$72k - $82k

Deerfield Dermatology Associates

Deerfield, IL

POSITION PROFILE & SPECIFICATION
Practice Staff Accountant / Full-Charge Bookkeeper
Dermatology & Dermatologic Surgery Practice | Deerfield, IL
Role Title: Practice Staff Accountant / Bookkeeper
Location: Deerfield, IL (Hybrid On-Site/Remote)
Practice Size: ~35 Team Members (Multi-Provider)
Employment Type: Full-Time (Exempt / Salaried)
Target Base Compensation: $72,000 – $82,000 / Year
Core Tech Stack: QuickBooks Online, Bill.com, Practice EHR
1. Practice Overview
We are an established, premier dermatology and dermatologic surgery practice of approximately 35 dedicated professionals located in Deerfield, Illinois. Our practice combines clinical dermatology, Mohs micrographic surgery, and advanced aesthetic services. We are dedicated to uncompromising patient care, clinical precision, and an efficient, tech-forward business infrastructure.
2. Position Summary
The Practice Staff Accountant / Full-Charge Bookkeeper serves as the day-to-day operational engine of our business office. This individual will maintain daily ledger integrity in QuickBooks Online, execute end-to-end accounts payable via modern automation (Bill.com), perform daily 3-way cash and merchant reconciliations against our Practice Management/EHR system, and assist clinical leadership with timely monthly performance metrics and cost tracking.
3. Key Responsibilities & Core Workflows
A. Daily Reconciliations & Revenue Cycle Tie-Out
• Daily Three-Way Cash Matching: Reconcile daily clinical collections reported by our Practice Management / EHR system (patient copays, merchant card settlements, cash/checks, and commercial/Medicare insurance EFT deposits) against QuickBooks Online operating bank feeds.
• Clearing & Merchant Verification: Ensure credit card batch settlements, patient portal receipts (e.g., Stripe), and merchant processing discount fees tie out to the exact penny daily, using clearing accounts rather than lump-sum deposits.
• Refund & Deposit Accounting: Accurately account for patient cosmetic pre-payments, procedural deposits, chargebacks, and cancellations without distorting gross revenue.
B. Accounts Payable & Vendor Management (Paperless AP)
• Full-Cycle Automated AP: Ingest, verify, and code all vendor invoices using digital OCR tools (Bill.com / Dext), ensuring a clean, paperless approvals pipeline.
• General Ledger & Departmental Class Tracking: Accurately split and code invoices across distinct business segments (Medical/Surgical, Mohs & Pathology, and Cosmetic/Aesthetic). Appropriately segregate clinical operating supplies from direct inventory/COGS (e.g., neurotoxins, dermal fillers, and biologics).
• Disbursements & Vendor Relations: Prepare weekly payables batches for physician/leadership authorization, monitor cash outflow requirements, manage vendor terms, and resolve vendor inquiries promptly.
C. Month-End Close, Balance Sheet Integrity & Reporting • Timely Month-End Close: Reconcile all bank accounts, credit card accounts, practice loans, lines of credit, and payroll clearing liabilities by the 10th business day of each month.
• Prepaid & Amortization Schedules: Maintain accurate amortization schedules for annual prepaid expenses (such as medical malpractice insurance and software licenses) and clinical equipment depreciation.
• Clinical Metrics & Management Dashboards: Compile monthly operational key performance indicators (KPIs)—including provider-level collections, overhead ratios, clinical supply cost trends, and product margin analyses—using automated Excel models or plug-and-play reporting tools (e.g., Fathom, LiveFlow).
• Payroll Journal Allocation: Record bi-weekly payroll journal entries in QBO, segregating physician base, mid-level providers, clinical nursing/MA staff, and administrative payroll, while assisting with monthly provider productivity bonus calculations.
4. Candidate Qualifications & Requirements
• Experience: 3 to 6+ years of full-charge bookkeeping or staff accounting experience. Direct prior experience in a medical practice, outpatient surgical center, dental group, or specialized healthcare setting is strongly preferred.
• QuickBooks Online Mastery: Advanced hands-on proficiency in QuickBooks Online, including complex chart of accounts maintenance, automated bank rules, class/location tracking, undeposited funds clearing discipline, and sub-ledger reconciliation.
• Tech-Forward Mindset: High comfort level with modern accounting technology. Experience with automated AP software (Bill.com, Dext), modern spreadsheet tools (Excel Power Query, dynamic formulas), and plug-and-play reporting connectors.
• Medical Billing Nuance Understanding: Working knowledge of healthcare revenue flows, clearinghouse insurance EFT remittances, patient copays, credit card batch settlement delays, and clinical product inventory costing.
• Education: Associate or Bachelor's degree in Accounting, Finance, or Business Administration preferred; equivalent hands-on full-charge accounting experience highly valued.
• Professional Attributes: Extreme attention to detail, discretion with confidential financial and clinical data, proactive communication, and ability to prioritize in an active clinical practice.
5. Compensation, Benefits & Work Environment
• Base Salary: $72,000 – $82,000 annually (commensurate with healthcare experience and QBO expertise).
• Health & Wellness: Comprehensive medical, dental, and vision insurance coverage options.
• Retirement Plan: Retirement plan with practice contribution/matching.
• Paid Time Off: PTO package plus paid national practice holidays.
• Work Schedule & Location: On-site presence at our Deerfield, IL clinic for smooth cross-team coordination with Team. Full-Time Role with Long-term Mindset.

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Vacancy posted 4 hours ago

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