Accounting Manager

The Accounting Manager is responsible for managing the financial operations of a 19‑provider independent medical practice, ensuring accuracy, compliance, and timely reporting. This role supports the practice in strategic financial planning, provides monthly financial presentations to the Physician Board, and assists with HR‑related administrative and compliance functions. The ideal candidate is detail‑oriented, proactive, and experienced in healthcare financial environments.

Major Responsibilities

• General Accounting and Financial Management
• Budgeting and Forecasting
• Monthly Physician Board Reporting
• Practice/Director Support
• Human Resources Support
• Compliance and Internal Control
• Accounting Technology Systems Maintenance

Qualifications & Skills

• Bachelor’s degree in Accounting, Finance, or related field (required)
• 3–5 years of accounting experience; healthcare or medical practice experience strongly preferred
• Knowledge of GAAP and healthcare reimbursement models
• Proficiency with accounting software (QuickBooks, Sage, etc.) and EHR/PM systems
• Strong Excel and financial modeling skills
• Excellent written and verbal communication, including presenting to leadership group
• Ability to maintain confidentiality and handle sensitive financial and personnel information

Key Responsibilities

General Accounting & Financial Management

• Maintain the general ledger, chart of accounts, and all accounting schedules
• Prepare monthly, quarterly, and annual financial statements in accordance with GAAP.
• Manage accounts payable and accounts receivable workflows, including vendor payments and patient refund processing.
• Reconcile all practice bank accounts, credit card accounts, payroll accounts, and petty cash.
• Oversee revenue cycle finance functions in collaboration with billing leadership (e.g., payment posting, charge reconciliation, variance review.
• Monitor cash flow, prepare cash‑flow projections, and alert the Executive Director of concerns or risks
• Coordinate with external CPA on year‑end tax filings, audits, and compliance reporting

Budgeting & Forecasting

• Assist the Executive Director with development of the annual operating budget and capital budget
• Prepare financial models, forecasts, and scenario analyses to support decision‑making
• Track budget performance throughout the year, identifying variances and recommending corrective action.

Monthly Physician Board Reporting

• Prepare monthly board financial packets, including
• Income statements and balance sheets
• Provider productivity reports
• Payer mix analysis
• RVU and compensation allocations (if applicable)
• Variance reports and narrative summaries
• Present monthly financial results to the Physician Board in a clear, professional, and accessible manner.
• Provide ad‑hoc financial reports requested by board members and medical leadership.

Support for Executive Director

• Provide high‑level financial analysis to support strategic practice initiatives.
• Assist with vendor contract review from a financial standpoint (e.g., cost comparisons, ROI analysis)
• Support planning and evaluation of expansion projects, service-line initiatives, or capital investments.
• Maintain financial compliance documentation and help prepare for regulatory inspections or audits (e.g., Medicare, commercial payers).

• HR-Related Responsibilities
• Assist HR and the Executive Director with payroll review and reconciliation.
• Maintain accurate employee PTO, benefit cost, and payroll allocation records.
• Help prepare financial portions of provider compensation statements and bonus calculations.
• Assist with 401(k) reporting, employer contribution calculations, and annual audit support if required.
• Help ensure compliance with federal and state labor-related financial documentation requirements.

Compliance & Internal

• ControlsEnsure adherence to internal financial policies, HIPAA standards, and healthcare regulatory requirements.
• Develop and strengthen internal controls to safeguard assets and ensure data integrity.
• Maintain documentation for all financial processes and support continuous workflow improvement.

Technology & Systems

• Maintain accounting systems and support optimization of EHR/PM system integrations related to billing and finance.
• Assist in evaluating and implementing financial software upgrades or new platforms as needed.