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Bookkeeper / Healthcare Accounting Specialist

GWAVA
Utica, NY Full Time
POSTED ON 12/13/2025 CLOSED ON 1/6/2026

What are the responsibilities and job description for the Bookkeeper / Healthcare Accounting Specialist position at GWAVA?

Description

Omni Surgery Center, a AAAHC-accredited ambulatory surgery center, and Omni Pain & Precision Medicine, a multi-site interventional pain management practice, are seeking a detail-oriented and experienced Bookkeeper / Healthcare Accounting Specialist. This role supports the financial operations of both entities, ensuring accurate bookkeeping, regulatory compliance, and timely financial reporting in a healthcare-regulated environment.

The ideal candidate has prior experience in medical practice accounting, understands ASC and professional fee structures, and is comfortable working with multiple legal entities, cost centers, and payer-driven revenue streams.

Key Responsibilities

Core Accounting & Bookkeeping

  • Maintain general ledgers for multiple related healthcare entities
  • Post and reconcile daily financial transactions
  • Manage accounts payable and accounts receivable
  • Perform monthly bank, credit card, and merchant account reconciliations
  • Prepare and track intercompany transactions and allocations
  • Maintain fixed asset and depreciation schedules

Healthcare-Specific Financial Functions

  • Reconcile deposits against billing and collections reports (ASC facility fees and professional fees)
  • Coordinate with billing companies and revenue-cycle vendors
  • Track insurance payments, patient payments, and adjustments
  • Assist with tracking payer mix, write-offs, and contractual adjustments
  • Support preparation of financial data for audits, AAAHC surveys, and compliance reviews

Payroll & Expense Oversight

  • Support payroll processing and payroll reconciliations
  • Track employee reimbursements, stipends, and expense reports
  • Monitor benefits, taxes, and withholdings in coordination with payroll vendors

Reporting & Compliance

  • Generate monthly financial statements (P&L, balance sheet, cash flow)
  • Assist with budgeting, forecasting, and variance analysis
  • Support year-end close and coordination with CPAs and tax advisors
  • Ensure documentation and processes align with healthcare compliance requirements

Work Environment

  • Professional healthcare setting
  • Collaborative administrative and clinical leadership team
  • Emphasis on accuracy, compliance, and operational excellence

Requirements

Qualifications

Required

  • 3 years of bookkeeping or accounting experience
  • Associate’s or bachelor’s degree in accounting, Finance, or related field
  • Strong understanding of GAAP principles
  • Proficiency with accounting software (QuickBooks or similar)
  • High attention to detail and strong organizational skills
  • Ability to manage confidential financial and patient-adjacent information
  • Experience handling multiple entities or locations

Preferred

  • Experience with ambulatory surgery centers (ASC)
  • Prior experience in healthcare, medical practice, or ASC environments
  • Familiarity with medical billing workflows and revenue cycle management
  • Experience coordinating with external billing and payroll vendors
  • Experience supporting audits or accreditation surveys (AAAHC, CMS)

Salary.com Estimation for Bookkeeper / Healthcare Accounting Specialist in Utica, NY
$53,125 to $65,495
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