Finance Specialist (Accounting & Payroll) Full Time

Monroe County Hospital•Forsyth, GA

5d•Onsite

About The Position

The Finance Specialist is responsible for performing a full range of accounting and payroll functions to support the hospital’s financial operations. This role ensures accurate financial reporting, timely payroll processing, compliance with federal and state regulations, and proper maintenance of financial and payroll records. The position plays a critical role in accounts payable, payroll administration, financial reconciliation, audit support, and regulatory reporting while collaborating with Human Resources and other departments to ensure accuracy, compliance, and operational efficiency.

Requirements

High School Diploma or GED required
1–2 years of payroll processing experience
1–2 years of general accounting experience
Knowledge of payroll and accounting principles
Familiarity with federal and state payroll regulations
Proficiency in Microsoft Excel and accounting/payroll systems

Nice To Haves

Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred
Strong organizational and analytical skills
Ability to prioritize and meet deadlines independently
Strong math and communication skills
Knowledge of healthcare financial operations (preferred)

Responsibilities

Maintain and track financial records, including ledgers, journals, invoices, and receipts.
Process and track accounts payable transactions.
Post accruals, recurring journal entries, and general ledger adjustments.
Reconcile bank accounts and general ledger accounts.
Maintain and manage fixed asset records (additions, disposals, depreciation).
Assist in preparation of monthly financial statements and reporting packages.
Update monthly budget variance reports.
Compile and report ER and discharge statistics.
Process bi-weekly and/or monthly payroll, ensuring accuracy of hours, pay rates, overtime, PTO, and deductions.
Prepare, review, and transmit payroll checks and direct deposits.
Maintain payroll records including earnings, deductions, garnishments, and tax withholdings.
Process payroll adjustments, retroactive pay, and final paychecks.
Coordinate with Human Resources regarding employee changes (new hires, terminations, pay updates, benefits).
Respond to employee payroll inquiries in a timely and professional manner.
Maintain strict confidentiality of payroll and compensation data.
Prepare and submit payroll tax filings (federal, state, local).
Complete quarterly payroll tax reconciliations and unemployment reports.
Prepare and distribute annual W-2 forms.
Prepare and submit vendor 1099 forms and required IRS filings.
Ensure compliance with CMS requirements, labor laws, and financial regulations.