Staff Accountant

Overview Staff Accountant - full-time / permanent position with a direct client of Aprio Talent Solutions. Location: Palo Alto, CA - Downtown North (on-site required, five days a week). Base pay range $50.00/hr - $65.00/hr Why It’s Worth Your Time Join an established medical practice that is growing. What You’ll Own Utilize NetSuite to manage multi-entity accounting under an MSO structure Maintain accurate general ledger records across multiple entities Record and reconcile daily transactions including A/P, A/R, payroll, and bank feeds Process vendor invoices, employee reimbursements, and payments in compliance with policies Reconcile bank accounts, credit cards, and intercompany balances monthly Support month-end, quarterly, and year-end close (journal entries, accruals, reconciliations) Prepare financial reports and summaries for management and partner practices Monitor cash flow and prepare cash flow statements and projections Provide quarterly financials with comparisons to prior periods and prior year Identify and report significant expense variances (10%+ month over month) Coordinate with practice managers to ensure accurate revenue and expense allocations Support audits and ensure compliance with state-specific regulations and internal controls Maintain vendor records, W-9s, and assist with 1099 preparation Collaborate with external accountants and auditors during audits and tax season Continuously seek process improvements leveraging NetSuite functionality Must-Haves Bachelor’s degree in Accounting Expert-level proficiency in NetSuite 3+ years of experience with MSO healthcare accounting (or private equity) Solid understanding of GAAP and bookkeeping best practices High attention to detail, accuracy, and organizational skills Nice to Have Experience in healthcare or medical group settings Familiarity with revenue cycle management and healthcare billing concepts Experience supporting outsourced CPA firms or auditors Seniority level Mid-Senior level Employment type Full-time Job function Accounting/Auditing Industries Medical Practices #J-18808-Ljbffr Aprio Talent Solutions