Accountant

Job Description

Job Description

Department

Finance & Accounting

Reports To

Controller / CFO

FLSA Status

Exempt

Employment Type

Full-Time

Location

On-site / Hybrid —The Swan Center

Position Summary

The Accountant is responsible for the day-to-day financial accounting of the practice, with particular emphasis on provider and staff compensation — including commission calculations, bonus administration, and periodic true-ups. This role ensures the accuracy, timeliness, and integrity of financial records across a multi-revenue-stream environment (surgical services, injectables, laser and energy-based treatments, skincare retail, and membership/package programs), and partners closely with practice leadership, providers, and payroll/HR to ensure compensation is calculated correctly and paid on time.

Key Responsibilities

Financial Accounting & Reporting

•      Maintain the general ledger, including journal entries, account reconciliations, and month-end and year-end close processes.

•      Prepare accurate and timely financial statements (P&L, balance sheet, cash flow) for practice leadership and ownership.

•      Reconcile bank, credit card, and merchant processing accounts, including EMR/POS system deposits (e.g., Nextech, PatientNow, Symplast, or similar).

•      Maintain accounts payable and accounts receivable, including vendor payments, patient financing reconciliation (e.g., CareCredit, PatientFi, Cherry), and aging review.

•      Support budgeting, forecasting, and variance analysis by location and service line.

Inventory & Fixed Asset Management

•      Provide oversight of inventory management for injectables, skincare, and other retail/clinical supplies, partnering with practice Management on physical counts and cycle counts.

•      Investigate and resolve inventory count discrepancies with Management, and post the resulting adjustments at month end.

•      Maintain the practice's Fixed Asset list, including additions, disposals, and transfers.

•      Record monthly depreciation adjustments in accordance with the practice's CapEx policy.

Commission, Bonus & Compensation Accounting

•      Calculate provider and injector commissions accurately across multiple structures (flat-rate, tiered/graduated, and service-specific rates for injectables, laser, skincare, and retail).

•      Administer bonus programs, including production-based bonuses, EBITDA-linked incentive plans, and personal MBO-based bonuses, ensuring calculations align with plan documents and offer letter terms.

•      Perform periodic true-up calculations for guaranteed minimum compensation arrangements, draw-against-commission structures, and any supplemental payments owed when earned compensation falls short of a guaranteed threshold.

•      Reconcile commission and bonus calculations against POS/EMR production reports and payroll register prior to each pay cycle.

•      Maintain clear, auditable documentation supporting each compensation calculation, and respond to provider or staff pay inquiries with accuracy and discretion.

•      Partner with HR/Payroll to ensure compensation plan changes (new hires, plan updates, terminations) are reflected accurately and on schedule.

Compliance & Internal Controls

•      Maintain internal controls over cash handling, revenue recognition, and compensation calculations.

•      Support external tax preparers, auditors, and lenders with schedules, reconciliations, and documentation as requested.

•      Ensure compliance with applicable state and federal wage, hour, and payroll regulations as they relate to commission and bonus payments.

•      Identify and recommend process improvements to strengthen accuracy and efficiency of accounting and compensation workflows.

Qualifications

Education & Experience

•      Bachelor's degree in Accounting, Finance, or a related field required.

•      3–5+ years of accounting experience; healthcare, medical spa, plastic surgery, or multi-location retail/services experience strongly preferred.

•      Demonstrated experience calculating commissions, bonuses, and true-ups in a provider- or sales-compensation environment.

•      CPA or progress toward CPA licensure a plus, but not required.

Skills & Competencies

•      Strong proficiency in Microsoft Excel (pivot tables, lookups, and complex formulas) for building and auditing compensation calculations.

•      Experience with accounting software (QuickBooks, NetSuite, Sage Intacct, or similar) and familiarity with medical spa/plastic surgery EMR-POS platforms a plus.

•      High degree of accuracy and attention to detail, particularly under recurring pay-cycle deadlines.

•      Strong analytical and problem-solving skills, with the ability to reconcile discrepancies between production data and compensation output.

•      Excellent discretion and judgment when handling confidential compensation and financial information.

•      Clear written and verbal communication skills, including the ability to explain compensation calculations to providers and staff.

•      Comfortable operating in a fast-paced, multi-location, multi-revenue-stream environment.

Work Environment

This position operates in a professional office/clinical business setting. Regular, predictable attendance is required, particularly around month-end close and payroll processing deadlines. Occasional travel between practice locations may be required.

Equal Opportunity Statement

Swan in partnership with United Aesthetics Alliance is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.

This job description is intended to describe the general nature and level of work being performed and is not an exhaustive list of all responsibilities, duties, and skills required. Duties and responsibilities may be subject to change based on business needs.

About Us:
At The Swan Center for Plastic Surgery, we pride ourselves on delivering exceptional aesthetic care in a luxurious, welcoming environment. Our team is dedicated to providing a seamless and elevated experience for every patient and client.

Why Join The Swan Center?
You’ll be part of a supportive, professional team in a beautiful, fast-paced environment where client care and attention to detail are top priorities. If you’re passionate about aesthetics, wellness, and delivering five-star service!

Company Description

About Us:\r\nAt The Swan Center for Plastic Surgery, we pride ourselves on delivering exceptional aesthetic care in a luxurious, welcoming environment. Our team is dedicated to providing a seamless and elevated experience for every patient and client. \r\n\r\nWhy Join The Swan Center?\r\nYou’ll be part of a supportive, professional team in a beautiful, fast-paced environment where client care and attention to detail are top priorities. If you’re passionate about aesthetics, wellness, and delivering five-star service!