Staff Accountant

About Nexus Health Systems

Nexus Health Systems is a leading provider of specialized healthcare services across Texas, delivering high-quality, patient-centered care through innovative clinical programs and operational excellence. Our growing network of hospitals and specialty facilities is supported by a strong financial foundation—and we’re looking for a detail-driven Staff Accountant to help maintain and strengthen that foundation.

The Staff Accountant performs detailed accounting functions for the organization related to the accurate recording of transactions, preparation of financial statements, and production of key performance metrics. This role supports month‑end close, reconciliations, audits, and financial reporting while working closely with the accounting team to ensure clean and compliant financial data.

• Reconcile bank statements by comparing statements to the general ledger
• Develop and post journal entries with appropriate supporting documentation
• Maintain and reconcile balance sheets; analyze and report variances
• Manage expense reimbursements and p‑card systems, including compliance, user setup, validation, and month‑end entries
• Verify expense accuracy and facility coding
• Prepare payroll journal entries, including accruals
• Assist with month‑end close processes
• Gather, analyze, and provide documentation for financial audits
• Collaborate with accounting team members to ensure efficient workflows and accurate reporting
• Complete prepared‑by‑client work papers and schedules
• Review company costs and coordinate with purchasing to address miscoding and capital expenditures
• Participate in payment decisions with the Controller based on company cash flow
• Maintain system of accounts and company financial records
• Determine allocations of company wide expenses
• Compile financial documentation for banking and reporting needs
• Manage new vendor setup and track 1099 vendors for annual reporting
• Maintain fixed assets, including monthly roll forwards
• Track large capital projects and oversee payments to ensure budgets are maintained
• Apply accounting knowledge related to prepaid expenses and capital assets
• Work independently on highly detailed financial tasks
• Perform ad hoc accounting duties as assigned

• Bachelor’s degree in Accounting or related field (or comparable experience)

• Minimum of 2 years in accounting or accounts payable
• Healthcare industry experience preferred

• Competitive compensation
• Growth opportunities within a rapidly expanding healthcare organization
• Collaborative, supportive accounting team environment
• Meaningful work supporting patient‑focused healthcare operations