Full Charge Medical Bookkeeper

Lockhart Matter Dermatology, Mohs & Aesthetic Center PLLCProsper, TX
2dRemote

About The Position

We are seeking a detail-oriented and reliable Full Charge Medical Bookkeeper to work in conjunction with our practice administrator to support our growing practice. This is a 1099 contractor position ideal for someone experienced in healthcare accounting, QuickBooks, and inventory tracking. The ideal candidate is organized, proactive, and comfortable working independently. A Full-Charge Medical Bookkeeper is responsible for helping to manage day-to-day and strategic financial operations of a medical practice. This role oversees the complete accounting cycle, ensures accuracy of financial records, supports compliance requirements, and manages both bookkeeping and inventory processes within a healthcare setting.

Requirements

  • 3–5+ years of full-charge bookkeeping experience (medical or healthcare preferred)
  • Strong proficiency in QuickBooks Desktop
  • Experience with medical billing systems and insurance processes
  • Solid understanding of GAAP and accounting best practices
  • Experience with inventory tracking and vendor management within QB
  • High level of accuracy and attention to detail
  • Strong organizational and time management skills
  • Ability to work independently and handle confidential information
  • Must have and maintain their own computer and necessary equipment- will will provide VPN access.

Nice To Haves

  • Experience in a private practice, clinic, or multi-provider setting
  • Familiarity with EHR/EMR and practice management systems
  • Knowledge of Paycor payroll systems and 1099/W-2 processing
  • Advanced Excel skills

Responsibilities

  • Handle full-cycle accounting, including general ledger maintenance, journal entries, and account reconciliations
  • Manage accounts payable (AP) and accounts receivable (AR), including patient billing reconciliation and insurance payments
  • Perform monthly, quarterly, and year-end closings
  • Prepare financial statements, including profit & loss, balance sheets, and cash flow reports
  • Reconcile bank accounts, credit cards, and merchant services accounts
  • Oversee payroll processing and coordination (or interface with payroll providers)
  • Maintain and monitor cash flow, budgets, and expense tracking
  • Manage medical inventory, including tracking supplies, usage, and vendor orders
  • Ensure proper documentation and organization for audits and tax preparation
  • Coordinate with practice administratorCPAs, tax preparers, and external auditors
  • Monitor compliance with healthcare financial regulations and internal policies
  • Assist with process improvements and implementation of financial systems
  • Reconcile practice management system reports with accounting records
  • Track insurance reimbursements, adjustments, and write-offs
  • Monitor patient balances and collections reporting
  • Support credentialing-related financial tracking (if applicable)
  • Ensure HIPAA-compliant handling of financial data

Benefits

  • Competitive salary or hourly/contract rate based on experience
  • Potential for flexible schedule depending on arrangement
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