Senior Accountant – Multi-Entity Healthcare Operations

Senior Accountant – Multi-Entity Healthcare Operations

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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 Quick Books 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

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.

• Bachelor’s degree in Accounting (strongly preferred).
• 3–5 years of hands‑on accounting experience — not supervisory.
• Multi‑entity or multi‑location.
• Advanced Excel skills.
• Experience with Quick Books (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.

• Healthcare accounting or revenue‑cycle experience.
• Familiarity with EMR/billing systems.
• Experience with reconciliations involving insurance/payer deposits.

• 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 Quick Books 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 work papers 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.

• Enjoys hands‑on accounting.
• Values structure and precision.
• Works independently and follows established processes.
• Communicates clearly and keeps documentation clean.
• Wants long‑term growth within a rapidly expanding multi‑state organization.

You will work in a collaborative, disciplined finance environment with opportunities to grow as the company expands. Our pace is fast, our standards are high, and our culture respects accuracy, clarity, and professionalism.

• Seniority level:
  Mid‑Senior level
• Employment type:
  
  Full‑time
• Job function:
  Accounting/Auditing and Finance
• Industry: Executive Offices