Accountant

Location 845 Main Road, Irving, NY, 14081, United States Base Pay $65,000.00 - $85,000.00 / Year Required Degree 4 Year Degree Job Summary The Accountant manages and maintains accurate financial records across the health system in compliance with Generally Accepted Accounting Principles (GAAP), CMS regulations, and applicable healthcare industry standards. This role is integral to the month-end close cycle, financial reporting, revenue accounting, and audit readiness, while partnering closely with clinical and operational departments to ensure fiscal integrity organization-wide. Essential Functions, Duties, and Responsibilities The following statements reflect the duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in this position. Key Responsibilities General Accounting & Month-End Close Prepare and post complex journal entries including accruals, reclassifications, prepaid amortizations, and inter-departmental allocations. Own assigned components of the month-end, quarter-end, and year-end close process; meet established deadlines consistently. Reconcile balance sheet accounts and investigate and resolve variances in a timely, documented manner. Maintain general ledger integrity and manage sub-ledger to ledger reconciliations. Reconciliation of bank and credit card statements Prepare sales tax returns Accounts Payable & Receivables Support AP functions, ensuring timely processing and accuracy of invoices Track and reconcile Accounts Receivables cash collections, aging reports and payment cycles Financial Reporting Assist with preparation of internal financial statements: income statements, balance sheets, statements of cash flows, and departmental P&Ls. Produce budget-to-actual variance reports with written commentary for finance leadership and department heads. Support preparation of Medicare/Medicaid cost reports (CMS-2552) and other regulatory filings. Assist in compiling board-level and executive financial packages and presentations. Revenue & Reimbursement Accounting Record and reconcile net patient service revenue, contractual adjustments, charity care, and bad debt estimates. Account for third-party payer settlements (Medicare, Medicaid, and commercial managed care). Collaborate with Patient Accounts department to ensure revenue completeness and accuracy. Analyze accounts receivable aging; support allowance for doubtful accounts reserve calculations. Budgeting & Forecasting Contribute to the annual operating and capital budget process by analyzing current costs, revenues, financial commitments, and obligations incurred to predict future revenues and expenses, including data gathering, modeling, and review cycles. Prepare and distribute monthly budget-to-actual variance analyses with explanatory commentary. Support rolling forecast updates in collaboration with clinical and operational department managers. Audit & Compliance Assist with external audits; prepare workpapers, schedules, and supporting documentation. Ensure compliance with GAAP, CMS regulations, and internal policies. Support internal audit reviews and assist in implementing corrective action plans. Maintain robust documentation and strengthen internal controls aligned with healthcare compliance standards. Cost Accounting & Analytics Allocate overhead and indirect costs to departments and service lines using established cost-accounting methodologies. Analyze cost trends, identify inefficiencies, and deliver actionable insights to finance leadership. Support service-line profitability analysis and financial modeling for new programs or initiatives. Systems & Process Improvement Work within healthcare ERP/financial systems to maintain and enhance accounting workflows. Identify and implement process improvements that increase efficiency and accuracy of financial operations. Assist in system upgrades, implementations, and testing as needed. Complete other duties/projects as assigned by Supervisor, Management or Executive staff. Qualifications Required Bachelor’s degree in Accounting, Finance, or a closely related field. Minimum 2 years of progressive accounting experience in healthcare accounting strongly preferred. Solid knowledge of GAAP, fund accounting principles, and healthcare revenue cycle concepts. Proficiency in ERP financial systems and Microsoft Excel (pivot tables, VLOOKUP/XLOOKUP, financial modeling). Strong analytical and problem-solving skills with high attention to detail. Ability to manage competing priorities and meet tight deadlines in a fast-paced environment. Excellent written and verbal communication skills, including the ability to present financial data to non-financial stakeholders. Core Competencies: Financial Acumen, Analytical Thinking, Integrity & Compliance, Collaboration, Accountability, Adaptability. Working Conditions This position is on-site. Extended hours may be required during month-end close, year-end audit, and budget cycles. Mental Demands Able to handle multiple priorities and act swiftly, accurately, and professionally in all situations Physical Demands Sit, walk, stand and minimum lifting. Contacts Frequent contact with vendors, auditors, management/ executive staff from the facility Departments. #J-18808-Ljbffr T E C Industrial Inc