Senior Accountant

Sadler Health Center Co•Carlisle, PA

About The Position

The Senior Accountant is an operational accounting role responsible for supporting month-end and year-end close, general ledger accounting, account reconciliations, journal entries, and accurate, timely financial information. The role requires hands-on understanding of how transactions flow through the general ledger, including researching and resolving discrepancies. Direct corporate, nonprofit, healthcare, or other in-house accounting experience is sought; experience primarily in tax preparation or external/general audit may not provide the hands-on background required. The Senior Accountant reports to the Controller and supports the Finance Department's accounting and financial reporting responsibilities.

Requirements

  • Bachelor's degree in accounting or a relevant field.
  • At least four years of general accounting experience.
  • Advanced understanding of GAAP.
  • Strong working knowledge of general ledger accounting, payroll, accounts payable, and cash processes.
  • Experience with automated accounting systems.
  • Advanced Excel skills.
  • Strong analytical, organizational, and problem-solving abilities.
  • Demonstrated ability to manage deadlines and produce accurate work in a deadline-driven environment.

Nice To Haves

  • Nonprofit or grant accounting experience.
  • FQHC or healthcare accounting experience.
  • Experience with Abila/MIP and ADP Workforce Now.
  • Master's degree in accounting, Finance, or a related field.
  • CPA designation or active CPA candidacy.

Responsibilities

  • Perform key activities supporting the monthly and year-end accounting close.
  • Prepare and review general ledger account reconciliations and journal entries.
  • Research account discrepancies and accounting issues, and ensure transactions are recorded in accordance with GAAP and applicable federal requirements.
  • Assist with preparation of monthly financial reports.
  • Reconcile bank accounts and maintain accurate accounting records.
  • Maintain fixed asset and capital asset records, including depreciation schedules.
  • Perform indirect cost allocations across programs, grants, and cost centers.
  • Support annual budget preparation and periodic financial and budget analysis.
  • Prepare grant invoices and reconciliations and support Federal Financial Reports, including the SF-425.
  • Reconcile patient service revenue, sliding fee discounts, payer remittances, and cash receipts.
  • Support the annual financial statement and Single Audit processes.
  • Assist with FQHC Medicare/Medicaid cost reporting, UDS financial reporting, Form 990 preparation, and other accounting requirements.
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