Senior Accountant

Senior Accountant

Company: HealthAlliance Hospital

City/State: Kingston, NY

Category: Finance/Info Systems

Department: Accounting

Union: No

Position: Full Time

Hours: M-F 8a-4p

Shift: Day

Req #: 48633

Posted Date: Jun 23, 2026

Hiring Range: $60,411 - $75,953 annually

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External Applicant link ( Internal Applicant link

Job Details:

Reporting to the Director of Finance, the Senior Accountant is responsible for the preparation, review and analysis of monthly and annual financial statements for multiple facilities in accordance with Generally Accepted Accounting Principles. In addition, responsible for performing revenue, expense and FTE budget variance analysis. Other duties include maintaining accurate and timely general ledger account reconciliations, daily cash reporting, audit work paper preparation, monitoring of all capital lease and debt obligations, recording of journal entries and fixed asset management. Works directly with both internal and external auditors to provide all requested documentation. Assists with the annual operating and capital budgets, tax return preparations, financial surveys and other financial reporting requirements. Acts as liaison with facility department heads to ensure Finance related issues are addressed timely. The Senior Accountant provides direction and oversight to Staff Accountant which includes review and approval of all prepared journal entries, work papers and other financial analysis. RESPONSIBILITIES

• Responsible for the preparation, review and analysis of multiple monthly and annual financial statements and participate in month-end financial close review meetings within time frame set by Director of Finance and Senior Management.

• Responsible for the maintenance and integrity of all general ledger accounts including Joint Ventures, if applicable.

• Supervision of all day-to-day activities and approval of all work-papers completed by Staff Accountants.

• Maintain accurate and timely general ledger and balance sheet audit worksheets for review by Director of Finance. Book monthly journal entries; recurring and non-routine.

• Assist Director of Finance in coordinating miscellaneous functions of the Accounting Department.

• Responsible for internal and external reporting including all financial surveys, IRS forms, pools, cash receipts assessments, etc.

• Assist in annual budget and ICR preparation reporting as needed.

• Compile all supporting schedules for annual tax returns (990’s, 1120’s and CHAR500's) and ensure timely compliance and filing.

• Act as liaison with outside audit firms and provide all requested documentation. This includes year-end financial statement audit, pension audit, A-133 grant audit, Worker’s Compensation audit, REAC filing, etc.

• Analyze monthly expense and FTE budget variances.

• Monitor capital lease and all debt obligations of the facility and reconcile the related long-term and short-term liability accounts.

• Prepare and update, on a monthly basis, schedule of Property, Plant and Equipment acquisitions and disposals and estimated depreciation calculations.

• Maintain effective communications between hospital departments to ensure Finance related issues of the department are addressed. Refer unresolved matters to management as appropriate.

• Maintain facility financial information systems (Kreg BUD, AllScripts and Sage).

• Recommend and develop processes for streamlining financial operations.

• Annual filing of NYS Unclaimed Funds submission. Research and submit for unclaimed funds due all HealthAlliance facilities throughout the fiscal year.

• Reconciliation of cash receipts/disbursements on a daily basis requiring verification to General Ledger and bank support.

• Preparation of weekly cash disbursement outflow report for cash reporting.

• Performs any other duties as assigned.

QUALIFICATIONS/REQUIREMENTS EXPERIENCE

• Solid accounting background with prior experience in a healthcare setting preferred

EDUCATION

• Bachelor’s degree in Accounting preferred

LICENSES/CERTIFICATIONS

• Strong computer skills – Microsoft Excel, Access and Outlook

OTHER

• Strong financial analysis skills; ability to prioritize and multi-task; excellent organization and communication skills

About Us:

HealthAlliance Hospital

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance

• Dental

• Vision

• Retirement Savings Plan

• Flexible Savings Account

• Paid Time Off

• Holidays

• Tuition Reimbursement

Apply Now

External Applicant link ( Internal Applicant link

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