Staff Accountant
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Job Description
Staff Accountant managing general ledger, payables, payroll, reconciliations, and cash for Hightop Health’s outpatient mental health practices. Supporting accurate financial operations across affiliated physician entities.
Responsibilities:
- Support day-to-day and period-end financial operations for Hightop Health and affiliated physician practice entities
- Perform general ledger accounting, including preparing and posting journal entries
- Create and maintain schedules for leases, accruals, prepaids, and fixed assets
- Track assets across clinic locations with practice managers
- Provide supporting schedules and backup to auditors or banks
- Reconcile balance sheet balances, sub-ledgers, GL accounts, bank accounts, benefits deductions, and payroll-related accounts
- Manage accounts payable processes, vendor setup, invoice validation, coding, approvals, and payment runs
- Manage Ramp vendor payment platform and respond to vendor payment questions and disputes
- Prepare and distribute 1099s at year end
- Process bi-weekly payroll, including timecards, incentive payments, deductions, taxes, garnishments, absence, and PTO tracking
- Support 401(k) match and payroll-related benefits or deductions
- Enter daily cash transactions and support cash management, intercompany transfers, wire and ACH payments, and positive pay activities
- Review monthly activities and reconciliations with the Sr. Associate and/or CFAO
- Collaborate with Finance colleagues, practice managers, HR, auditors, banks, and other stakeholders
Requirements:
- Bachelor’s degree in Accounting will be prioritized
- May consider other equivalent education/work experience
- Minimum of three (3) years of relevant accounting experience required
- Experience in physician practices or provider organizations and multi-entity environments strongly preferred
- Proficient in Microsoft Excel
- Vendor management and invoice processing in Ramp.com or Bill.com
- Proficient in all core accounting modules of Sage Intacct or other common accounting systems
- Previous payroll processing experience with ADP or other large HRIS/Payroll platforms
- Demonstrated experience with accounts payable/receivable, general ledger reconciliations, journal entries, and payroll processing
- Experience supporting external audits
- Experience in a start-up or high-growth environment strongly preferred
- Excellent organizational skills
- Must be located in the Central Time Zone
Benefits:
- 401(k) matches
- PTO tracking and employee absence benefits administration
- Equal employment opportunity and inclusive work environment
- Remote work arrangement
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