Accounting & Payroll Specialist

Northeast OB/GYN•San Antonio, TX

About The Position

Works collaboratively with Business Office/Practice managers on daily maintenance of accurate deposits and bank balances. Balances checkbook, initiates bank transfers, reconciles daily deposits, P&L, cash flow and bank statements and provides detailed and accurate information to appropriate divisions upon request. Formulates monthly financial statements. Performs accounts payable function of practice. Pay invoices for office supplies as necessary to ensure proper inventories. Looks for opportunities to save money on monthly expenses and reports to COO and practice managers, with the exception of utilities, phones or computers. Provides financial information feedback to the COO, Accountant, and practice managers. Transfers monies among practice accounts as necessary and approved by COO. Assist in preparing internal financial reports for physician leadership review. Prepares physicians payroll/bonus calculations, reconciliations, expenses, misc. costs, etc. Attends monthly/weekly/biweekly meetings as needed for each division Assists with developing annual budget(s) with COO/Practice Managers. Process and record vendor invoices, reimbursements, and check requests with proper coding and approvals. Maintain accurate records of vendor accounts; reconcile statements and resolve discrepancies. Manage patient and third-party receivables as needed; track and follow up on outstanding balances. Prepare and post journal entries, ensuring all transactions are coded accurately. Perform bank and credit card reconciliations for multiple practice locations. Support month-end and year-end closing activities, including accruals and account reconciliations. Attends monthly/weekly/biweekly meetings as needed for each division. Review payroll reports for accuracy and ensure proper allocation of payroll expenses by department and location. Assist with benefit deductions, PTO tracking, and other payroll-related reconciliations. Coordinate with HR and external payroll providers to ensure timely processing. Performs some payroll duties, including tax deposits, insurance payments, 401k payments, and other ancillary plans. Monthly Prepares physicians payroll/bonus calculations, reconciliations, expenses, misc. costs, etc. Pull, review, and reconcile financial and operational data from medical software systems (e.g., EHR, practice management, or billing platforms). Generate reports on physician productivity, collections, and clinic performance. Collaborate with the administrative and physician leadership teams to analyze trends and support data-driven decision-making. Maintain organized and secure financial records in compliance with HIPAA, internal policies, and audit requirements. Support the preparation of documentation for annual audits and tax filings. Ensure adherence to GAAP and practice-specific accounting policies. Assist with additional duties that may be assigned.

Requirements

Proficiency in accounting and payroll functions.
Experience with financial statement formulation.
Experience with accounts payable.
Experience with financial reporting.
Experience with payroll calculations and reconciliations.
Experience with vendor invoice processing and account reconciliation.
Experience managing receivables and following up on outstanding balances.
Experience preparing and posting journal entries.
Experience with bank and credit card reconciliations.
Experience supporting month-end and year-end closing activities.
Experience reviewing payroll reports for accuracy and allocation.
Experience coordinating with HR and external payroll providers.
Experience with payroll tax deposits, insurance payments, and 401k payments.
Experience pulling, reviewing, and reconciling financial and operational data from medical software systems (e.g., EHR, practice management, or billing platforms).
Experience generating reports on physician productivity, collections, and clinic performance.
Experience collaborating with leadership teams to analyze trends and support decision-making.
Experience maintaining organized and secure financial records in compliance with HIPAA, internal policies, and audit requirements.
Experience supporting the preparation of documentation for annual audits and tax filings.
Knowledge of GAAP and practice-specific accounting policies.

Nice To Haves

Experience with utilities, phones, or computer expense management.

Responsibilities

Daily maintenance of accurate deposits and bank balances.
Balance checkbook, initiate bank transfers, reconcile daily deposits, P&L, cash flow and bank statements.
Provide detailed and accurate financial information to appropriate divisions.
Formulate monthly financial statements.
Perform accounts payable functions.
Pay invoices for office supplies and maintain proper inventories.
Identify opportunities to save money on monthly expenses and report to COO and practice managers.
Provide financial information feedback to the COO, Accountant, and practice managers.
Transfer monies among practice accounts as necessary and approved by COO.
Assist in preparing internal financial reports for physician leadership review.
Prepare physicians payroll/bonus calculations, reconciliations, expenses, and misc. costs.
Attend monthly/weekly/biweekly meetings as needed for each division.
Assist with developing annual budget(s) with COO/Practice Managers.
Process and record vendor invoices, reimbursements, and check requests with proper coding and approvals.
Maintain accurate records of vendor accounts; reconcile statements and resolve discrepancies.
Manage patient and third-party receivables; track and follow up on outstanding balances.
Prepare and post journal entries, ensuring all transactions are coded accurately.
Perform bank and credit card reconciliations for multiple practice locations.
Support month-end and year-end closing activities, including accruals and account reconciliations.
Review payroll reports for accuracy and ensure proper allocation of payroll expenses by department and location.
Assist with benefit deductions, PTO tracking, and other payroll-related reconciliations.
Coordinate with HR and external payroll providers to ensure timely processing.
Perform payroll duties, including tax deposits, insurance payments, 401k payments, and other ancillary plans.
Pull, review, and reconcile financial and operational data from medical software systems.
Generate reports on physician productivity, collections, and clinic performance.
Collaborate with administrative and physician leadership teams to analyze trends and support data-driven decision-making.
Maintain organized and secure financial records in compliance with HIPAA, internal policies, and audit requirements.
Support the preparation of documentation for annual audits and tax filings.
Ensure adherence to GAAP and practice-specific accounting policies.
Assist with additional duties as assigned.