Senior Accountant

About Us : Complete Care is expanding rapidly and is seeking an experienced Controller to join our dynamic Accounting Department. We are looking for a professional who is not only detail-oriented and organized but also has a solid background in accounting, including significant experience with audit firms. This role is ideal for someone who thrives in a fast-paced environment and is looking to grow alongside a forward-moving company.

Summary of duties: The Senior Accountant supports the Controller in managing the day-to-day accounting operations of a $100M healthcare organization with 450 employees across multiple Central Florida service locations. The role owns month-end close for assigned entities, leads multi-site general ledger consolidation, and serves as a technical resource for revenue recognition, third-party payor reporting, and intercompany transactions. The ideal candidate has four to seven years of progressive accounting experience, prior exposure to healthcare or other multi-entity operating environments, and the judgment to operate independently on complex reconciliations while collaborating across clinical, operations, and revenue cycle functions.

Supervision received: Controller

Duties & Essential Functions: Reasonable accommodation may be made to enable individuals with disabilities to perform job-related functions.

• Own the month-end close cycle for assigned entities, including journal entries, accruals, and account reconciliations, with a target close of business day eight.
• Prepare consolidated financial statements across multiple operating locations, including elimination entries and intercompany reconciliations.
• Reconcile balance sheets on a monthly cadence and document variances above defined thresholds.
• Prepare monthly management reporting packages including P&L by location, variance analysis against budget, and KPI dashboards.
• Lead the recording and reconciliation of fixed assets, including capital projects, leasehold improvements, and medical equipment additions.
• Record and reconcile patient revenue, contractual allowances, and bad debt reserves in coordination with the revenue cycle team.
• Maintain third-party payor settlement accounts (Medicare, Medicaid, commercial) and support cost report preparation if applicable.
• Account for provider compensation arrangements, productivity-based incentives, and any related-party transactions in line with Stark and Anti-Kickback compliance documentation.
• Support 340B program accounting where applicable, including inventory tracking and split-billing reconciliations.
• Coordinate with operations leaders to ensure proper accounting treatment of new service line launches, acquisitions, and location openings.
• Serve as a primary point of contact for the external audit team during year-end and interim fieldwork, preparing requested schedules and supporting documentation.
• Maintain documentation of accounting policies, procedures, and internal controls for assigned process areas.
• Identify control gaps and recommend process improvements, particularly around multi-location data flow and approval workflows.
• Support compliance with all applicable federal and state regulations including HIPAA-relevant data handling within finance systems.
• Assist with tax filings and information returns prepared by external tax advisors.
• Mentor staff accountants and review their work product, providing technical guidance on journal entries, reconciliations, and ERP transactions.
• Partner with FP&A on budget development, forecasting, and variance investigation.
• Lead ad hoc analyses and special projects, including acquisition integration accounting, system implementations, and process automation initiatives.
• Build relationships with location administrators, department managers, and revenue cycle staff to resolve accounting questions at the source.
• Bachelor's degree in Accounting, Finance, or related field required.
• Four to seven years of progressive accounting experience, with at least two years in a senior or lead accountant capacity.
• Healthcare industry experience strongly preferred, including exposure to provider organizations, hospital systems, ambulatory practices, or healthcare services companies.
• Demonstrated experience with multi-entity or multi-location consolidations.
• CPA license preferred, or active pursuit of CPA with substantive progress toward completion.
• Strong working knowledge of US GAAP, including ASC 606 (revenue), ASC 842 (leases), and ASC 805 (business combinations) at a working level.
• Advanced Microsoft Excel proficiency including pivot tables, lookups, and large-dataset reconciliation work.
• Hands-on experience with mid-market ERP systems such as Sage Intacct, NetSuite, Workday Financials, or Microsoft Dynamics.
• Working familiarity with healthcare-specific systems and concepts: revenue cycle platforms, payor contract terms, contractual allowance calculations, and provider compensation models.
• Operates with discretion and sound judgment on sensitive financial and compliance matters.
• Communicates clearly with clinical, administrative, and leadership teams.
• Manages competing priorities effectively in a fast-paced, multi-site environment.

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.