Accounting Specialist

Job Summary: Responsible for full-cycle accounts payable, bookkeeping, and general accounting functions across all MEC locations and entities. This role supports the financial health of the organization by ensuring accurate financial records, timely payments, proper general ledger coding, and daily reconciliation of activity across clinical systems (EHR/optical) and accounting software. This position requires strong attention to detail, healthcare accounting awareness, and the ability to manage multiple entities in a fast-paced ophthalmology environment.

Essential Functions:

• Manage full-cycle accounts payable for all MEC locations and related companies, ensuring timely and accurate processing of invoices and payments.
• Review, verify, and process invoices, statements, expense reports, and purchase orders; ensure proper authorization, coding, and allocation across multiple entities and cost centers.
• Maintain and reconcile general ledger accounts, ensuring accuracy and completeness of financial data.
• Perform daily bookkeeping functions, including entering deposits, recording collections, and reconciling activity between accounting software, EHR, and optical systems.
• Reconcile bank accounts, credit cards, and EFT transactions on a routine basis; investigate and resolve discrepancies.
• Prepare and review weekly cash requirements, assist with cash flow management, and execute check runs and electronic payments.
• Maintain and track physician expense allocations in accordance with contract terms.
• Process patient and insurance refunds in coordination with the Revenue Cycle/Billing team.
• Maintain accurate records of petty cash across all locations, including reconciliation and replenishment.
• Assist with month-end and year-end close processes, including accruals, reporting, and audit preparation.
• Support financial reporting by preparing schedules, reconciliations, and documentation for leadership and external partners (CPA/Accounting firm).
• Maintain organized and compliant document management systems, ensuring proper naming conventions and accessibility.
• Collaborate with department leaders to support budget tracking, inventory valuation, and operational financial insights.
• Assist with vendor management, including communication, payment resolution, and maintaining accurate vendor records.
• Provide administrative and operational support to the Admin as needed, including special projects and reporting.
• Assist with coordination of travel and continuing education arrangements for physicians and leadership, as requested.
• Support team events and organizational initiatives as needed.
• Other duties as assigned.

Education

Required:

• High School diploma or equivalent

Preferred:

• Associate’s degree in Accounting, Finance, Business Administration, or related field

Strongly Preferred:

• Bachelor’s degree in Accounting, Finance, or related field

• Formal coursework in:
  • Financial Accounting
  • Managerial Accounting
  • General Ledger & Reconciliation Practices
  • Payroll Accounting (multi-entity preferred)

Experience/Skills/Other Requirements

Required:

• 3 years of experience in bookkeeping, accounting, or accounts payable
• Strong understanding of general ledger, reconciliations, and accounting principles
• Experience managing multiple entities or locations
• High level of accuracy and attention to detail
• Strong organizational and time management skills
• Ability to communicate clearly and professionally with vendors, physicians, and team members
• Proficient in Microsoft Office (especially Excel)
• Ability to handle sensitive financial information with confidentiality
• Ability to work independently and prioritize in a fast-paced environment

Preferred:

• Experience in healthcare or ophthalmology practice accounting
• Familiarity with EHR/practice management systems and how they tie to financial reporting
• Experience with accounting software 
• Experience with month-end close and financial reporting processes

Physical/Mental Demands:

•  Regularly sit, stand, and walk
• Ability to manage deadlines and occasional workload-related stress
• Normal vision and hearing required
• Ability to lift up to 25 pounds