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Senior Accountant

Rowan Diagnostic Clinic, PA
Salisbury, NC Full Time
POSTED ON 5/29/2026
AVAILABLE BEFORE 7/28/2026

JOB SUMMARY:

The Senior Accountant responsible for overseeing daily accounting operations, financial reporting, reconciliations, accounts payable activities, and general ledger management for a multi-division healthcare organization. This role ensures the accuracy and integrity of financial data by managing bank and credit card reconciliations, preparing complex journal entries, supporting month-end and year-end close processes, and maintaining compliance with accounting standards and internal policies.

The position also manages vendor relationships, invoice processing, employee reimbursements, regulatory reporting, and financial documentation retention. In addition, the Senior Accountant supports budgeting, forecasting, financial analysis, and acquisition-related financial reviews while collaborating with auditors, operational departments, and leadership teams. This role requires strong technical accounting expertise, advanced Excel and accounting software proficiency, excellent analytical skills, and the ability to work independently in a fast-paced healthcare environment.

Qualifications:

ESSENTIAL FUNCTIONS:

Banking & Reconciliation

  • Record daily insurance EFT deposits across two bank accounts
  • Record and reconcile daily credit card deposits
  • Reconcile daily batches across five divisions
  • Travel to three nearby locations to retrieve and process daily batches
  • Prepare and complete weekly bank deposits
  • Perform monthly reconciliations for three bank accounts

Accounts Payable & Vendor Management

  • Process approximately 150 invoices monthly
  • Open, review, and process incoming paper invoices daily
  • Maintain organized vendor files and invoice documentation
  • Communicate with vendors to resolve discrepancies and coordinate service or product needs
  • Collaborate with the Revenue Cycle Management (RCM) department to process patient refund checks
  • Manage employee reimbursements and other ad hoc disbursements
  • Oversee accounts payable and accounts receivable functions

Journal Entries & General Ledger Support

  • Prepare and post complex journal entries
  • Reconcile and record monthly journal entries related to:
    • Credit card transactions
    • Retirement accruals
    • Depreciation
  • Record monthly loan payments and properly account for interest
  • Perform general ledger reconciliations and ensure financial accuracy
  • Support month-end and year-end close processes

Reporting, Analysis & Documentation

  • Prepare financial statements and management reports
  • Create, update, and distribute monthly partnership invoices to Novant
  • Assist with budgeting, forecasting, and financial analysis to identify trends and variances
  • Prepare regulatory reports in compliance with applicable laws and accounting standards
  • Scan, store, and maintain Medicaid incentive documentation received with checks
  • Organize and archive financial documents in accordance with retention and credit card compliance policies
  • Assist in preparing monthly RVU calculation spreadsheets
  • Analyze financials of target practices for acquisition purposes

Compliance, Systems & Operational Support

  • Develop and implement accounting policies and procedures
  • Utilize accounting software systems to record, store, and analyze financial data
  • Collaborate with internal and external auditors during audits
  • Serve as backup for payroll processing as needed
  • Provide general accounting and operational support as required

Required Skills & Qualifications

  • Strong technical accounting knowledge, including debits, credits, and general ledger reconciliation
  • Proficiency in accounting software systems including Sage and Microsoft Excel
  • Knowledge of GAAP reporting requirements
  • Strong analytical, organizational, and problem-solving skills
  • Excellent written and verbal communication skills
  • High level of accuracy and attention to detail
  • Ability to work independently and collaboratively in a team environment
  • Minimum of 7 years of successful accounting experience in an accounting department
  • Healthcare industry experience preferred

Other Responsibilities

  • Perform additional duties as assigned

Education:   Bachelor’s degree in Accounting, CPA preferred

 

Salary.com Estimation for Senior Accountant in Salisbury, NC
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