Accounting & Payroll Specialist

Accounting & Payroll Specialist

Job Category: Accounting Requisition Number: ACCOU001502

Full-Time On-site Northeast OB/GYN | Administrative Building 14100 San Pedro Ave San Antonio, TX 78232, USA

Description

Works collaboratively with Business Office/Practice managers on daily maintenance of accurate deposits and bank balances.

Balances checkbook, initiates bank transfers, reconciles daily deposits, P&L, cash flow and bank statements and provides detailed and accurate information to appropriate divisions upon request.

Formulates monthly financial statements.

Performs accounts payable function of practice.

Pays invoices for office supplies as necessary to ensure proper inventories.

Looks for opportunities to save money on monthly expenses and reports to COO and practice managers, with the exception of utilities, phones or computers. Provides financial information feedback to the COO, Accountant, and practice managers.

Transfers monies among practice accounts as necessary and approved by COO.

Assists in preparing internal financial reports for physician leadership review. Prepares physicians payroll/bonus calculations, reconciliations, expenses, misc. costs, etc.

Attends monthly/weekly/biweekly meetings as needed for each division.

Assists with developing annual budget(s) with COO/Practice Managers.

Processes and records vendor invoices, reimbursements, and check requests with proper coding and approvals.

Maintains accurate records of vendor accounts; reconciles statements and resolves discrepancies.

Manages patient and third-party receivables as needed; tracks and follows up on outstanding balances.

Prepares and posts journal entries, ensuring all transactions are coded accurately.

Performs bank and credit card reconciliations for multiple practice locations.

Supports month-end and year-end closing activities, including accruals and account reconciliations.

Reviews payroll reports for accuracy and ensures proper allocation of payroll expenses by department and location.

Assists with benefit deductions, PTO tracking, and other payroll-related reconciliations.

Coordinates with HR and external payroll providers to ensure timely processing.

Performs some payroll duties, including tax deposits, insurance payments, 401k payments, and other ancillary plans.

Pulls, reviews, and reconciles financial and operational data from medical software systems (e.g., EHR, practice management, or billing platforms).

Generates reports on physician productivity, collections, and clinic performance.

Collaborates with the administrative and physician leadership teams to analyze trends and support data-driven decision-making.

Maintains organized and secure financial records in compliance with HIPAA, internal policies, and audit requirements.

Supports the preparation of documentation for annual audits and tax filings.

Ensures adherence to GAAP and practice-specific accounting policies.

Assists with additional duties that may be assigned.

Skills

Preferred: Novice Patient Billing, Novice Microsoft Excel, Novice Interpersonal Skills, Novice HR Information Systems Skills, Novice Computer/Tech Literacy, Novice Communication Skills, Novice Budgeting Skills, Novice Auditing Skills, Novice Analytical Skills, Novice Adaptability Skills

Behaviors

Preferred: Functional Expert: Considered a thought leader on a subject Team Player: Works well as a member of a group Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Dedicated: Devoted to a task or purpose with loyalty or integrity

Education

Preferred: Associates or better in Accounting or related field.

Required: Minimum three (3) years of recent accounting experience, preferably in health care organization. Experience with pulling and analyzing data from medical software systems (EHR, EMR, or billing platforms).

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.