General Accountant

PeopleLift

9d•Onsite

About The Position

PeopleLift is recruiting on behalf of a confidential healthcare organization in Puerto Rico seeking a seasoned Senior General Accountant to join their finance team. This is a full-time, permanent opportunity with a comprehensive benefits package at a well-established institution committed to delivering quality patient care across the island. If you are a detail-driven accounting professional with healthcare industry experience and a passion for financial integrity, we want to hear from you.

Requirements

Minimum 5 years of progressive accounting experience, with at least 2 years in a healthcare, hospital, or medical services environment strongly preferred.
Bachelor's degree in Accounting, Finance, or a related field required; CPA license (ICPA — Puerto Rico) is a significant advantage.
Solid working knowledge of GAAP, healthcare revenue cycle principles, and Puerto Rico and U.S. federal tax regulations.
Proficiency in accounting software (e.g., QuickBooks, SAP, Oracle, or similar ERP/healthcare financial systems); advanced Microsoft Excel skills required.
Familiarity with Medicare, Medicaid, and/or private health insurance billing, reimbursement processes, and cost reporting is highly desirable.
Strong analytical skills with the ability to interpret complex financial data and communicate findings clearly to non-financial stakeholders.
High degree of accuracy, integrity, and confidentiality in handling sensitive financial and patient-adjacent data.
Excellent organizational skills with the ability to manage competing deadlines in a fast-paced healthcare environment.
Bilingual proficiency in Spanish and English (written and verbal) required.

Nice To Haves

CPA license (ICPA — Puerto Rico) is a significant advantage.
Familiarity with Medicare, Medicaid, and/or private health insurance billing, reimbursement processes, and cost reporting is highly desirable.

Responsibilities

Manage full-cycle general accounting functions including journal entries, account reconciliations, and month-end and year-end close processes.
Prepare accurate and timely financial statements in compliance with GAAP and applicable healthcare industry regulations.
Oversee accounts payable and accounts receivable functions, ensuring proper coding and timely processing aligned with healthcare billing standards.
Monitor and reconcile general ledger accounts, identifying and resolving discrepancies with precision and urgency.
Support internal and external audit processes by preparing required documentation, schedules, and variance analyses.
Assist in the preparation of annual budgets and multi-year financial forecasts in collaboration with department leadership.
Ensure compliance with Puerto Rico Treasury Department (Hacienda) requirements, federal tax obligations, and applicable CMS/Medicaid/Medicare billing regulations.
Analyze financial performance data and deliver actionable insights and reports to senior management.
Maintain and improve internal controls and accounting procedures to safeguard organizational assets.
Collaborate cross-functionally with clinical, operations, and HR teams to support budgeting and cost-center reporting needs.