Accounting Manager - Healthcare

Physicians’ Primary Care•Fort Myers, FL

21d

About The Position

The Accounting Manager oversees the day-to-day accounting operations of Physicians’ Primary Care of Southwest Florida, a multi-location primary care medical group. The role ensures the accuracy, completeness, and integrity of financial records and maintains effective accounting procedures and internal controls. Responsibilities cover general ledger management, bank and balance sheet reconciliations, month-end and year-end closing, financial reporting and analysis, fixed asset accounting, and support for budgeting and financial planning. The Accounting Manager works with administrative leadership and operational managers to provide timely, accurate financial information that supports business decisions and organizational financial health. The position supervises the accounting team and reports to the Chief Executive of Operations. The role requires a hands-on accounting professional with strong analytical, organizational, and detail-oriented skills, able to manage multiple priorities in a multi-location healthcare environment. The manager oversees accounting activities, maintains ledgers and reconciliations, prepares financial statements and management reports, analyzes financial performance, maintains fixed asset records, strengthens controls and processes, and supports financial reporting across medical office locations and departments. Additional work includes special projects and collaboration with internal departments, external accountants, financial institutions, and other business partners.

Requirements

Minimum of five years of medical office experience, including general ledger accounting, account reconciliations, financial reporting, and month-end closing.
Strong working knowledge of accrual-basis accounting, including month-end accruals, adjusting entries, and balance sheet reconciliations.
Experience with cost accounting, expense allocation, and financial reporting across multiple locations, departments, or cost centers.
Ability to analyze cost trends, identify variances, and translate accounting data into meaningful operational information.
Proficiency in general ledger accounting systems and financial reporting tools.
Advanced Excel skills, including formulas, lookups, pivot tables, and financial data analysis.
Ability to develop, maintain, and interpret financial reports and supporting schedules.
Familiarity with budgeting, expense allocation methodologies, internal controls, and financial reconciliation procedures.
Demonstrated career longevity; the organization seeks a long-term team member.
Experience with fixed asset accounting and depreciation schedules is required or strongly preferred.
Ability to sit and stand in a normal office environment; manual dexterity using a calculator and computer keyboard.

Nice To Haves

Bachelor’s degree in Accounting, Finance, or a related field preferred.
Prior experience in an accounting supervisory or management role preferred.
Experience with multi-location organizations, multiple cost centers, or complex general ledger structures strongly preferred.
Healthcare or medical practice accounting experience preferred.
Experience with fixed asset accounting and depreciation schedules is strongly preferred if not required.
Familiarity with Sage 100 and DocLink is beneficial.

Responsibilities

Oversee daily accounting activities and ensure transactions are recorded accurately and in accordance with established accounting principles and company policies.
Maintain the general ledger and chart of accounts, including account classifications and allocations across multiple locations and departments.
Complete journal entries, accruals, account reconciliations, and supporting documentation.
Reconcile bank statements and investigate and resolve discrepancies.
Reconcile balance sheet accounts, including cash, prepaid expenses, accrued liabilities, and fixed assets.
Monitor accounts payable and other accounting transactions for appropriate coding, approvals, and supporting documentation.
Maintain organized and complete financial records.
Coordinate and complete month-end and year-end closing activities by established deadlines.
Prepare and review journal entries, accruals, amortizations, and other closing adjustments.
Investigate unusual general ledger fluctuations or discrepancies and ensure accurate, timely closing with supporting schedules and documentation.
Assist with year-end financial reviews, external accountant requests, tax preparation support, and other financial reporting.
Prepare monthly financial statements, management reports, and financial summaries for administrative leadership.
Develop and maintain reports on revenue, expenses, operating costs, and financial performance.
Analyze actual results against budgets, prior periods, and financial benchmarks; identify variances and explain their causes.
Prepare financial reports by location, department, cost center, or other relevant category to support operational decisions.
Identify trends, unusual transactions, expense-control opportunities, and matters requiring further investigation.
Improve reporting tools, spreadsheets, and accounting processes to increase efficiency, accuracy, and usefulness of financial information.
Respond to leadership and department managers’ requests for financial information and analysis.
Maintain the fixed asset register and ensure assets are recorded, classified, and assigned to appropriate locations.
Record asset acquisitions, disposals, transfers, and other changes; calculate and record depreciation according to accounting policies.
Reconcile the fixed asset register to the general ledger and investigate discrepancies.
Coordinate periodic fixed asset verification and maintain supporting documentation.
Track capital expenditures and assist with reporting on capital improvement projects, equipment purchases, and other investments.
Maintain fixed asset records in accordance with applicable accounting and tax requirements.
Maintain and strengthen accounting procedures, internal controls, and financial documentation standards.
Ensure transactions are authorized, coded, and supported; identify opportunities to streamline workflows and reduce manual work or errors.
Assist in developing and documenting accounting policies and procedures.
Maintain confidentiality of financial, employee, physician, and organizational information.
Maintain accurate financial reporting across medical office locations and administrative departments.
Ensure consistent allocation of shared expenses and centralized costs across appropriate locations, departments, and cost centers.
Collaborate with practice administration, office management, and other departments to clarify transactions and resolve accounting questions.
Develop understanding of the financial and operational drivers of a multi-location medical practice and support analysis of operations, staffing costs, facilities, equipment, and other significant expenses.
Assist with special projects, financial analyses, and operational initiatives as assigned.
Maintain positive professional relationships with internal departments, external accountants, financial institutions, and other business partners.
Perform other duties consistent with the responsibilities of the position.