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Staff Accountant

Job in Billings, Yellowstone County, Montana, 59107, USA
Listing for: Yellowstone Surgery Center, Llc
Full Time position
Listed on 2026-09-03
Job specializations:
  • Accounting
    Financial Reporting, Financial Compliance
  • Finance & Banking
    Financial Reporting, Financial Compliance
Salary/Wage Range or Industry Benchmark: 29 - 34.83 USD Hourly USD 29.00 34.83 HOUR
Job Description & How to Apply Below

Job Details Level: Experienced

Job Location:

Billings, MT 59101 Position Type:
Full Time Education Level: 4 Year Degree Salary Range: $29.00 - $34.83 Hourly

Travel Percentage :
None

Job Shift: Day Job Category:
Finance

Position Title:

Staff Accountant

Supervisor:
Senior Director of Operations and Finance

Supervises:
None

Who We Are

We are dedicated to delivering convenient, cost-effective, and high-quality surgical and pain procedure care. Every team member plays a vital role in creating a safe, compassionate, and efficient environment for our patients.

Core Values
  • Confidentiality
  • Quality
  • Teamwork
  • Trust
  • Respect
Position Overview

The Staff Accountant supports the financial integrity and day-to-day accounting operations of Yellowstone Surgery Center. This position performs financial reporting, general ledger accounting, account reconciliations, payroll processing, budgeting support, audit preparation, and compliance-related activities.

Working under the direction of the Senior Director of Operations and Finance, the Accountant prepares timely and accurate financial information, maintains organized records, identifies discrepancies and process improvements, and collaborates with leaders and departments to support sound financial decision-making.

Duties and Responsibilities Financial Reporting & General Accounting
  • Prepare, analyze, and interpret monthly, quarterly, and annual financial statements and reports in accordance with Generally Accepted Accounting Principles (GAAP) and organizational policies
  • Perform general ledger accounting, including journal entries, account analysis, accruals, and review of supporting documentation
  • Complete assigned month-end and year-end close activities accurately and within established deadlines
  • Generate financial reports using accounting, payroll, and patient account systems and provide supporting detail as requested
  • Review financial activity for completeness and accuracy; research and resolve discrepancies and communicate significant concerns to the Senior Director of Operations and Finance
  • Prepare financial information and supporting schedules for leadership and governing board review, subject to Senior Director of Operations and Finance approval
Reconciliations & Financial Operations
  • Prepare bank, balance sheet, general ledger, payroll, and other account reconciliations; investigate and resolve reconciling items
  • Review and reconcile company credit card activity, ensuring transactions are properly authorized, documented, coded, and recorded
  • Verify the validity and accuracy of accounting source documents and maintain organized supporting records
  • Maintain financial records and provide accounting support for designated affiliated or partner entities, including AMP, as assigned
  • Coordinate with the Accounts Payable Specialist and other departments to support accurate coding, documentation, payment processing, and financial reporting while maintaining appropriate separation of duties
Payroll & Retirement Plan Support
  • Process payroll and complete payroll review procedures to support timely, accurate, and compliant employee compensation
  • Maintain accurate payroll records and protect confidential employee information
  • Reconcile payroll activity to the general ledger and bank statements and resolve identified differences
  • Prepare and review 401(k) reports and supporting documentation
  • Assist with annual retirement plan audits, testing, and related information requests
Budgeting, Capital & Inventory Support
  • Assist the Senior Director of Operations and Finance with development of the annual operating budget, forecasts, and financial planning activities
  • Monitor budget-to-actual results, research significant variances, and prepare supporting reports for Senior Director of Operations and Finance review
  • Collaborate with department leaders to gather capital equipment requests and supporting information for budget planning
  • Track approved capital purchases and prepare status updates for leadership and governing board review
  • Complete annual inventory reconciliation and related reporting activities
Audit, Compliance & Internal Controls
  • Ensure ongoing compliance with federal and state accounting and procurement standards
  • Prepare schedules, reconciliations, source documents, and other information requested for annual financial audits
  • Coordinate assigned audit documentation and respond to auditor questions in collaboration with the Senior Director of Operations and Finance
  • Follow established internal controls and financial procedures designed to safeguard organizational assets and reduce the risk of fraud, waste, and abuse
  • Identify control gaps, unusual transactions, or opportunities for process improvement and promptly communicate recommendations to the Senior Director of Operations and Finance
  • Support HIPAA audit activities and other compliance reviews as assigned
  • Stay current on relevant accounting standards, financial regulations, organizational policies, and industry best practices
Confidentiality & Professional Accountability
  • Protect sensitive…
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