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Accountant

Clarke County Hospital
Clarke County Hospital Salary
Osceola, IA Full Time
POSTED ON 4/14/2026
AVAILABLE BEFORE 6/10/2026

As a member of the financial services team this position assists the Hospital in achieving financial performance by processing, gathering, inputting, compiling and organizing relevant accounting information.  Coordinates receipt of documents, reviews and monitors completeness and accuracy of information, and makes appropriate payments to facilitate effective Hospital operations and provides timely and necessary reports to Hospital management.  This individual also serves as a banking specialist by assisting with banking processes/internal controls & monitoring banking activity; and serves as central point of contact for payroll accounting.  Maintains proficiency in key functions of the Financial Analyst to provide backup coverage as needed.

Accounts Payable

  • Reviews and verifies invoices and check requests, obtaining approval when needed
  • Codes invoices, monitor for completeness, enters for payment, and performs check runs
  • Prepares and processes electronic transfers and payments
  • Researches and resolves invoice discrepancies; and corresponds with vendors and internal departments as needed
  • Processes patient refunds received from Business Office
  • Creates monthly invoices for leased space and other miscellaneous billings; and processes payments received
  • Maintains vendor files and safe keeps historical records according to record retention policy
  • Maintains Bills Allowed for Finance/Board and prepares quarterly newspaper publication
  • Coordinates W-9 and 1099 process and leads creation and mailing of 1099(s) at year end.

General Ledger/Audit

  • Posts transactions to general ledger journal
  • Assists with month end closing and bank reconciliations
  • Monitors outstanding checks and assists with reporting unclaimed property
  • Prepares monthly department financials
  • Assists with maintaining audit work papers and provides audit support as necessary
  • Develops and maintains spreadsheets
  • Assists with the development and maintenance of Standard Operating Procedures

Banking/Financial Reporting

  • Serves as a signer on all CCH bank accounts and monitors bank activity daily
  • Updates Business Office Deposit Spreadsheet daily & monitors timeliness of receipts
  • Facilitates/manages wired funds process
  • Serves as internal contact for verifying status of outgoing checks & provides images
  • Serves as second to Controller in relationships with financial institutions
  • Works with Controller on improving banking processes & controls
  • Reconciles payroll data to facilitate accurate quarterly wage/tax reporting & annual W-2(s)
  • Assists with submitting wage reports to IPERS.
  • Other duties as assigned by Controller.

Payroll

  • Prepares and uploads payroll data to accounting system after pay run
  • Tracks and reconciles as necessary payroll deductions and payroll payments
  • Provides AR Deduction list to Business Office after pay run
  • Leads the Accounting function within the payroll process through data research, pulling reports, troubleshooting issues, communicating changes, and creating cases.

Cross-Functional Support for Financial Analyst

  • Provides backup coverage to Financial Analyst
  • Cross-trains on key functions of Financial Analyst including financial reports, GL entries, revenue review and audit work papers.

Basic Clarke County Hospital (CCH) Performance Criteria     

  • Demonstrates Clarke County Hospital Standards of Behaviors as well as adheres to hospital policies and procedures and safety guidelines.
  • Demonstrates ability to meet business needs of department with regular, reliable attendance.
  • Employee maintains current licenses and/or certifications required for the position.
  • Practices and reflects knowledge of HIPAA, DIA, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.
  • Completes all annual education and competency requirements within the calendar year.
  • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance.

Qualifications

Education: Associates Degree (AA or AS) Preferred: Bachelor's degree in accounting, business, or related field.

Experience: 2 years of previous business accounting or financial reporting experience. Preferred: 4 years of related experience in accounting or financial reporting, preferably in the healthcare field.

License(s)/Certification(s): Preferred: Certifications held in the financial or accounting field.

Knowledge/Skills/Abilities: 

  • Proficient in Microsoft Excel
  • Outstanding mathematical skills
  • Basic Computer literacy
  • Critical thinking and problem-solving skills
  • Resarch and analytical skills
  • Maintain confidential information. 
  • Interpersonal skills
  • High attention to detail
  • Organizational skills
  • Solid written and verbal communication skills
  • Speaks and writes fluent English

Preferred: Experience in business, accounting and/or financial reporting software.

Shifts and Schedule - 40 hours per week; Monday-Friday; Full-Time

Salary.com Estimation for Accountant in Osceola, IA
$62,785 to $76,886
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