Senior Accountant
Hospital for Special Surgery•New York, NY
•Onsite
About The Position
The Senior Accountant is responsible for performing and overseeing advanced accounting functions in support of the hospital’s financial operations. This role ensures the integrity and accuracy of financial reporting in accordance with U.S. GAAP, nonprofit accounting standards (ASC 958), and healthcare regulatory requirements. The Senior Accountant plays a key role in the monthly close process, account reconciliations, audit support, and internal control compliance.
Requirements
- Bachelor’s degree in Accounting, Finance, or related field required.
- Minimum of 3–5 years of progressive accounting experience.
- Prior experience in healthcare, nonprofit, or hospital environment strongly preferred.
- Experience with financial close, audits, and account reconciliations required.
- Strong knowledge of U.S. GAAP, including nonprofit accounting (ASC 958).
- Understanding of healthcare financial operations, including patient revenue cycles (preferred).
- Proficient in ERP systems (e.g., Workday, or similar).
- Advanced Microsoft Excel skills (e.g., pivot tables, VLOOKUP/XLOOKUP).
- Strong analytical, problem-solving, and organizational skills.
- High attention to detail and commitment to accuracy.
- Ability to manage multiple priorities and meet tight deadlines.
- Strong written and verbal communication skills.
Nice To Haves
- Understanding of healthcare financial operations, including patient revenue cycles.
Responsibilities
- Prepare and review monthly journal entries, accruals, and adjustments.
- Lead assigned components of the monthly, quarterly, and year-end close processes.
- Ensure timely and accurate preparation of financial statements and supporting schedules.
- Analyze variances and provide explanations to management.
- Prepare and review balance sheet account reconciliations, ensuring completeness and accuracy.
- Investigate and resolve reconciling items in a timely manner.
- Maintain reconciliation documentation in accordance with organizational policies and audit standards.
- Maintain and monitor general ledger activity for assigned areas (e.g., revenue, expenses, fixed assets, payroll).
- Ensure proper classification of transactions in compliance with GAAP and organizational policies.
- Support external and internal audit processes, including preparation of audit schedules and documentation.
- Ensure compliance with nonprofit accounting standards (ASC 958) and applicable healthcare regulations.
- Assist in the preparation of audited financial statements and footnote disclosures.
- Adhere to and support internal control frameworks to ensure accuracy and safeguard assets.
- Identify control gaps and recommend process improvements.
- Assist in documentation and testing of key controls.
- Participate in system implementations, process improvement initiatives, and cross-functional projects.
- Assist with ad hoc reporting requests from leadership.
Benefits
- additional benefits consistent with the role
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Senior
