Bookkeeper

Full Charge Bookkeeper

A Top Workplace recognized company headquartered in Troy, Michigan, AmeriCare Medical is the parent company of AmeriStaff Nursing Services, Sun Medical Equipment and Supplies, RxIV Pharmacy and QCN Home Health Care. Providing high quality, in-home patient care for more than 45 years, we are looking to add a Full Charge Bookkeeper to our accounting team. If you are looking for an impactful position where each day can bring new opportunities to contribute and learn, then look no further.

Key Responsibilities

• Record and categorize daily financial transactions in Sage 50, including patient billing activity, vendor invoices, reimbursements, and operational expenses.
• Maintain the general ledger and ensure entries reflect home-healthcare-specific cost structures such as caregiver mileage, medical supplies, and insurance reimbursements.
• Reconcile bank accounts, credit card accounts, and petty cash on a scheduled basis.
• Process accounts payable by verifying invoices, matching to purchase orders or service records, coding expenses, and preparing payments.
• Manage accounts receivable by generating invoices, tracking outstanding balances, and coordinating with billing teams regarding payer issues or denials.
• Support payroll preparation by organizing timesheets, mileage logs, and caregiver visit documentation; collaborate with HR or payroll vendors to ensure accuracy.
• Prepare routine financial reports, including cash-flow summaries, expense tracking, and departmental spending updates.
• Assist with month-end and year-end close, including journal entries, accruals, and account reconciliations.
• Maintain organized financial documentation for audits and annual tax preparation.
• Communicate with vendors, caregivers, clinical managers, and administrative staff to resolve financial questions or discrepancies.
• Uphold confidentiality and compliance with HIPAA and other healthcare-related financial regulations.

Required Skills and Qualifications

• Experience as a bookkeeper working with multiple entities.
• Strong understanding of accounting principles and internal-control practices.
• Proficiency with Sage 50, Microsoft Excel and other Office365 products.
• Ability to manage high-volume transactions with accuracy and attention to detail.
• Strong organizational skills and the ability to prioritize in a fast-paced environment.
• Clear communication skills for working with both internal and external staff and partners.
• High school diploma required; associate or bachelor's degree in accounting, finance, or business preferred.

Preferred Qualifications

• Experience in home healthcare, hospice, skilled nursing, or related healthcare services.
• Familiarity with payer billing processes, insurance reimbursements, and healthcare documentation.
• Knowledge of ADP payroll software and caregiver-specific payroll considerations such as mileage and visit-based pay.
• Certifications such as Certified Bookkeeper (CB) or Sage 50 training.

Work Environment and Schedule

• Part-time position with potential to grow into full-time.
• On-site
• Occasional extended hours during month-end close, audits, or regulatory reporting periods.