Accounting & Accounts Receivable Specialist (Full-Time-Healthcare)

Child & Family DevelopmentCharlotte, NC
Hybrid

About The Position

We are seeking a highly skilled and detail-oriented Accounting & Accounts Receivable Specialist to take full ownership of our accounting function within a growing pediatric healthcare practice. This is a hands-on role responsible for managing the general ledger, P&L, balance sheet, bank reconciliations, and QuickBooks Online (QBO), while also overseeing critical accounts receivable functions, including insurance payment posting, remittance processing, and credit balance management. The ideal candidate is a strong accountant first, with proven experience maintaining accurate financials and producing reliable reports, along with a working knowledge of healthcare AR processes. This role partners closely with the President and Executive Director of Business Operations and plays a key role in ensuring financial accuracy, improving processes, and supporting strategic decision-making.

Requirements

  • Highly organized with ability to manage multiple priorities.
  • Process-driven with continuous improvement mindset.
  • Excellent communication and collaboration skills.
  • High integrity and confidentiality.
  • 3+ years of full-cycle accounting experience (general ledger, P&L, balance sheet).
  • Strong expertise in QuickBooks Online (QBO).
  • Proven experience with: Bank and account reconciliations.
  • Proven experience with: Financial reporting and analysis.
  • Experience with accounts receivable and payment posting.
  • Advanced proficiency in Excel.
  • Strong attention to detail and analytical skills.

Nice To Haves

  • Experience in a healthcare, medical, or therapy practice.
  • Knowledge of Insurance payment posting (ERA/EOB).
  • Knowledge of Credit balance management.
  • Knowledge of Revenue cycle workflows.
  • Experience working in a small to mid-sized organization with full ownership of accounting.

Responsibilities

  • Maintain full responsibility for general ledger accounting in QuickBooks Online (QBO).
  • Prepare and analyze monthly, quarterly, and annual financial statements (P&L, Balance Sheet).
  • Perform monthly bank and account reconciliations.
  • Ensure accuracy, completeness, and timeliness of all financial data.
  • Support budgeting, forecasting, and variance analysis.
  • Maintain strong internal controls and compliance with financial policies.
  • Post insurance and patient payments (ERAs/EOBs) accurately and efficiently.
  • Reconcile payments and investigate discrepancies.
  • Manage and resolve credit balances and overpayments.
  • Assist with monitoring AR aging and revenue cycle performance.
  • Ensure adherence to payer guidelines and billing accuracy.
  • Identify and implement process improvements across accounting and AR workflows.
  • Optimize use of QuickBooks Online and internal systems.
  • Support purchasing and expense tracking as needed.
  • Collaborate with leadership to improve financial visibility and operational efficiency.

Benefits

  • Growth potential as the organization expands.
  • Stable, purpose-driven healthcare environment.
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