Senior Accountant - Full Time

Randolph Hospital District D B A Memorial Hospital•Chester, IL
•Onsite

About The Position

Memorial Hospital in Chester, Illinois, is seeking a Senior Accountant to serve as the lead accounting professional within its Business Office. The role is responsible for the integrity of financial reporting, general ledger management, financial analysis, budgeting support, audit coordination, and compliance activities. The Senior Accountant supports the Chief Financial Officer in maintaining accurate financial records, safeguarding assets, preparing financial statements, and ensuring compliance with applicable accounting standards and healthcare regulations. The successful candidate is organized and analytical, with strong attention to detail, sound judgment, excellent communication skills, and the ability to work independently and collaboratively with hospital leadership, department managers, auditors, and external partners. The role includes mentoring and cross-training accounting staff, providing technical guidance to the Accountant position, and supporting other accounting and Business Office functions as needed. Memorial Hospital highlights the opportunity to work with executive leadership, contribute to a community-focused healthcare organization, and make an impact on the hospital’s financial stability.

Requirements

  • Bachelor’s degree in Accounting, Finance, or a related field required.
  • Minimum of five years of progressively responsible accounting experience preferred.
  • Knowledge of Generally Accepted Accounting Principles, Governmental Accounting Principles, healthcare financial reporting, budgeting, reimbursement methodologies, internal controls, and financial analysis.
  • Advanced Microsoft Excel proficiency required.
  • Ability to demonstrate strong organization, analytical skills, attention to detail, sound judgment, and professional decision-making.
  • Excellent communication skills and ability to work independently and collaboratively.
  • Ability and willingness to adapt to changes in job responsibilities and the healthcare industry.
  • Ability to become familiar with all job responsibilities within twelve weeks and proficient in all tasks within six months.
  • Ability to maintain confidentiality in accordance with hospital policy and HIPAA requirements.

Nice To Haves

  • CPA or CMA certification.
  • Master’s degree in Accounting, Finance, or Business Administration.
  • Healthcare accounting experience.
  • Critical Access Hospital experience.
  • Equivalent combinations of education and experience may be considered at the hospital’s discretion.

Responsibilities

  • Coordinate and manage monthly and annual financial closing processes.
  • Prepare monthly financial statements and supporting schedules.
  • Maintain the integrity of the general ledger and chart of accounts.
  • Review account reconciliations and journal entries for accuracy and completeness.
  • Calculate contractual allowances and other accounting estimates.
  • Maintain fixed asset accounting records, including capitalization, depreciation, transfers, and disposals.
  • Coordinate preparation of annual audit schedules and serve as the primary liaison for external auditors.
  • Assist with Medicare, Medicaid, and other reimbursement reporting requirements.
  • Assist with development and monitoring of annual operating and capital budgets.
  • Prepare monthly Board financial reports and management reporting packages.
  • Analyze financial performance, identify trends, and explain variances.
  • Assist the CFO with cash flow forecasting, financial modeling, and strategic planning initiatives.
  • Prepare statistical reports, grant schedules, and regulatory filings.
  • Recommend improvements to accounting procedures, internal controls, and reporting processes.
  • Provide training and technical guidance to the Accountant position; mentor and cross-train accounting staff.
  • Serve as backup for accounts payable, cash management, and other accounting functions.
  • Assist the Business Office with accounts receivable follow-up and payment posting.
  • Assist the CFO with charge capture, price reviews, and maintenance of the charge master.
  • Participate in special projects and perform other duties as assigned.
  • Promote accountability, accuracy, and continuous improvement; identify operational efficiencies and process improvements.
  • Maintain effective working relationships and communicate financial information clearly and professionally while maintaining confidentiality.
  • Maintain confidentiality of patient, employee, financial, and proprietary information in accordance with hospital policy and HIPAA requirements.

Benefits

  • PTO accrual of 0.085 hours earned per hour worked.
  • Retirement contribution of 5% with an optional match program.
  • Wellness health insurance for the employee for $20.00 per month.
  • Professional growth and development opportunities.
  • Collaborative team environment.
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