Senior Staff Accountant

Reports To: CEO

FLSA Status: Exempt

Location: Hauppauge, NY Corporate Office (Hybrid)

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Groth Pain & Spine is a rapidly growing Pain Management multi-clinic practice. We are a mission-driven organization that values integrity, innovation, growth and collaboration across our clinical, operational, and corporate teams.

The Senior Staff Accountant plays a key role in maintaining the accuracy and integrity of the company’s financial records. Reporting to the CEO, this position is responsible for general ledger management, month-end closing, reconciliations, fixed asset management, accounts payable processing, and treasury reporting. The ideal candidate will bring strong analytical skills, attention to detail, and a proactive, solution-oriented mindset. This role is hands-on and collaborative — ideal for a motivated accounting professional seeking to grow within a dynamic, healthcare-focused organization. Looking for a team member to create an implement a structured finance department for our rapidly growing company.

• Prepare and record month-end journal entries and recurring accruals.
• Reconcile general ledger and sub-ledger accounts, including bank accounts, prepaid assets, and fixed assets.
• Assist in preparing monthly financial reporting packages, including balance sheet, income statement, and cash flow statements.
• Perform variance and trend analysis to identify discrepancies and explain fluctuations.
• Support the preparation of tax filings, audits, and other regulatory reporting requirements.
• Ensure compliance with GAAP and company accounting policies.

• Enter and accurately code accounts payable invoices; prepare weekly payment batches for CEO’s review.
• Maintain vendor files and ensure proper authorization and documentation of disbursements.
• Reconcile and maintain multiple banking accounts; assist with daily cash reporting and treasury management.

• Maintain and reconcile fixed asset sub-ledgers, record additions, disposals, and depreciation.
• Support implementation and optimization of accounting software and automation tools.
• Collaborate and build internal teams to enhance financial reporting, controls, and system efficiency.

• Serve as a primary point of contact for external auditors.
• Support internal control initiatives and compliance with healthcare and company policies.
• Perform ad hoc analyses and reporting as requested by leadership.
• Assist in process improvement and system enhancement projects as the organization grows.

• Associate’s or bachelor’s degree in accounting, Finance, or a related field.
• 3–5 years of progressive accounting experience (preferably in healthcare, laboratory, or multi-entity environments).
• Strong understanding of GAAP and general ledger accounting.
• Proven experience with bank and balance sheet reconciliations.
• Advanced proficiency in Microsoft Excel (pivot tables, lookups, complex formulas).
• Strong analytical, problem-solving, and organizational skills.
• Ability to work independently and meet deadlines with minimal supervision.
• High attention to detail and a commitment to accuracy.
• Authorized to work in the United States.

• CPA or working toward CPA certification.
• Familiarity with Bill.com or other AP automation tools.

•Experience with Nexonia and or ERP systems
• Prior public accounting or healthcare industry experience.

• 3-5 years EMR experience.

Groth Pain & Spine supports Equal Employment Opportunities (EEO) and is committed to an inclusive and respectful workplace. We do not discriminate on the basis of race, religion, color, national origin, gender identity or expression, age, marital status, veteran status, disability status, parental status, or any other protected status.

All employees are expected to understand and abide by the company’s compliance and ethics policies. Annual compliance training is provided, and all staff are expected to promptly report any suspected violations of federal or state law, regulations, or internal policies.

• Opportunity to contribute to an innovative company revolutionizing pain management

• Collaborative and mission-driven culture that values growth, innovation, and compassion.
• Competitive compensation and benefits package.
• Long-term career development in a high-impact healthcare environment.