Accounting & Finance Specialist

Root Causes Medicine•San Antonio, TX

3d•$60,000 - $70,000•Onsite

About The Position

Root Causes Medicine is an integrative and functional medicine clinic in San Antonio, TX. We are dedicated to a simple but radical idea: that the body, given the right environment, has a profound capacity to heal. Our practitioners don't just treat symptoms — they ask what's actually causing them. We serve a growing community of members navigating complex, chronic, and serious health conditions — and we take that responsibility seriously. We're building something meaningful here, and we need people who want to be part of that — not just punch a clock. We are looking for an Accounting & Finance Specialist to own the day-to-day financial operations of Root Causes Medicine. This isn't a passive bookkeeping role. You will be the connective tissue between what we spend, what we earn, what we owe, and what the numbers actually mean for the business. You will work closely with our Head of Practice and CFO, keeping the financial picture accurate and current so leadership can make confident decisions. You'll also interact regularly with clinical staff, vendors, and department leads — which means you need to be comfortable getting information from people who don't think in spreadsheets.

Requirements

Bachelor's degree in Accounting, Finance, or a related field
3+ years of accounting, bookkeeping, or finance experience
Proficiency in QuickBooks Online or similar accounting software
Strong Excel skills — you use it to solve problems, not just record them
Experience with accounts payable, accounts receivable, and general ledger accounting

Nice To Haves

Experience in healthcare or professional services strongly preferred

Responsibilities

Accounts payable — vendor invoices, payment processing, aging reports, dispute resolution
Accounts receivable — patient and payer payments, cash application, collections follow-up
Payroll processing — accurate and on-time, every time
Purchasing support — purchase order management, vendor reconciliation, and coordination with our supplement and supply inventory process
Month-end and year-end close — reconciliations, schedules, and reporting
Expense compliance — reviewing and processing reimbursements against policy
Internal reporting — recurring financial reports and schedules for leadership
Audit support — organized records and responsive support when needed
Financial systems — manage implementation of new financial systems and own data migration
Process improvement — identifying and flagging inefficiencies as we grow