Senior Accountant – Multi-Entity Healthcare Operations
About The Position
NANA Healthcare Management, LLC supports a growing network of behavioral health and substance-abuse treatment programs. Our finance team oversees a complex multi-entity structure, integrating data from EMR systems, billing platforms, bank activity, and QuickBooks Enterprise to ensure accurate, reliable financial reporting. We value accuracy, documentation, accountability, and a calm, disciplined approach to daily accounting operations, especially in our fast moving environment. Schedule: Full-Time Pay: $75,000 - $85,000 annually, potential for bonus The Opportunity We are seeking a hands-on Senior Accountant who excels in reconciliations, multi-entity accounting, and detailed Excel work. Reporting to the Senior Finance Accountant (SFA), this role manages the day-to-day finance and accounting operations, including entering journals, managing accounts receivable and payable, using financial technology systems, and performing selected finance-related administrative tasks. The Senior Accountant ensures the timely reconciliation and reporting of all financial statements; prepares financial analyses for the SFA and other key stakeholders as requested; maintains accurate fiscal records; and serves as a primary contact for internal staff regarding invoicing, bill payments, cash receipts, revenue, and budgeting information. This is a technical, detail-focused accounting position where accuracy, documentation, and follow-through are essential.
Requirements
- Bachelor’s degree in Accounting (strongly preferred).
- 3–5 years of hands-on accounting experience — not supervisory.
- Multi-entity or multi-location accounting experience.
- Advanced Excel skills.
- Experience with QuickBooks (Enterprise preferred).
- Comfort working with large volumes of data across multiple systems.
- Superior data management and data analysis skills.
- Strong time management and organizational skills.
Nice To Haves
- Healthcare accounting or revenue-cycle experience.
- Familiarity with EMR/billing systems.
- Experience with reconciliations involving insurance/payer deposits.
Responsibilities
- Ensure day-to-day transactions such as accounts payable, cash receipts and accounts receivable, credit card transactions, and payroll are recorded properly.
- Ensure proper expense recognition.
- Ensure all finance and accounting operations comply with generally accepted accounting principles (GAAP).
- Maintain schedules: AR, revenue, intercompany, prepaids, accruals, and fixed assets.
- Record and review journal entries with accuracy and documentation discipline.
- Tie out EMR, billing platform, and QuickBooks data.
- Reconcile high-volume payer transactions (insurance, credit card, patient payments).
- Investigate missing items, mismatches, timing differences, and payer anomalies.
- Support the Senior Finance Accountant (SFA) by preparing assigned close tasks and schedules.
- Ensure workpapers are organized, documented, and audit-ready.
- Maintain standard processes and checklists for recurring close activities.
- Assist with payroll allocations, revenue cycle tie-outs, and variance analysis.
- Investigate discrepancies and resolve errors with internal teams.
- Maintain internal controls and standardized close procedures.
Benefits
- You will work in a collaborative, disciplined finance environment with opportunities to grow as the company expands.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
