Accounting Specialist

NATURE OF WORK Fairfield Memorial Hospital is seeking a detail oriented and highly organized Accounting Specialist to join the Finance team. This unique position combines accounting, medical staff credentialing, payer enrollment, payroll backup, and regulatory compliance responsibilities. The Accounting Specialist plays a key role in supporting the organization's financial integrity, audit readiness, provider credentialing processes, and enrollment activities. This position is responsible for month end and year end accounting support, journal entries, bank reconciliations, audit preparation, provider credentialing, OPPE/FPPE reporting, payer enrollments, and payroll backup.

The successful candidate will demonstrate strong analytical skills, excellent attention to detail, and the ability to manage multiple responsibilities while maintaining confidentiality and compliance with organizational policies and healthcare regulations.

KEY RESPONSIBILITIES Perform monthly bank, credit card, and balance sheet reconciliations

Research and resolve reconciliation discrepancies and variances

Prepare monthly and year end journal entries

Assist with month end and year end close processes

Support annual audits by preparing documentation and supporting schedules

Maintain organized and audit ready financial records

Assist with regulatory and financial reporting requirements

Coordinate provider credentialing and recredentialing activities

Maintain provider licenses, certifications, privileges, and required documentation

Assist with OPPE and FPPE reporting processes

Maintain files in accordance with Joint Commission standards and organizational policies

Process provider enrollments, revalidations, and updates with Medicare, Medicaid, and commercial payers

Monitor application status and follow up on outstanding enrollments

Maintain provider information within enrollment databases and systems

Work with providers and payers to resolve enrollment issues

Serve as backup for payroll processing

Assist with payroll-related reconciliations and reporting as needed

Maintain strict confidentiality of employee information

Support Finance Department projects and process improvements

Perform other duties as assignedCOMPENSATION: $23.00-$34.00 per hour

SCHEDULE:

Monday-Friday; 8:00 am-4:30 pm BENEFITS
403(b) Retirement PlanPPO Health Insurance PlanHDHP Health Insurance Plan w/ Health Savings Account Dental Insurance Plan Vision Insurance Plan Short and Long Term Disability Insurance Basic and Voluntary Life Insurance Plans Paid Time Off (Vacation/Sick/Illinois Paid Leave/Holiday)
Flexible Work Schedules Professional Development Opportunities WHAT FMH HAS TO OFFER Fairfield Memorial Hospital is a mission focused critical access hospital dedicated to providing exceptional care to the patients and families we serve, with a strong commitment to improving the health and well being of our community through compassionate service, clinical excellence, and a supportive culture that empowers employees to do their best work.

Furthermore, FMH offers competitive compensation and a comprehensive benefits package designed to support your health, well being, and long term professional development. We strive to ensure employees feel valued, supported, and equipped to make a meaningful impact. FMH is a drug free workplace, and all candidates must complete a pre‑employment drug screening in accordance with Illinois law. We proudly uphold Equal Opportunity Employment practices and welcome applicants of all backgrounds without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or veteran status.

EDUCATION/QUALIFICATIONS

Required:

Associate Degree in Accounting, Business, Finance, Healthcare Administration, or related field; or equivalent combination of education and experience;
Proficiency in Microsoft Office applications, particularly Excel.

Preferred:
Associate Degree in Accounting or Finance;
Healthcare finance, credentialing, or provider enrollment experience;

Experience with accounting, payroll, or ERP software systems.

EXPERIENCE

Required:

Minimum of three (3) years of experience in accounting, bookkeeping, payroll, credentialing, payer enrollment, healthcare administration, or a related field.

Preferred:

Experience with reconciliations, financial reporting support, or provider enrollment processes;
Healthcare experience strongly preferred.

SKILLS Strong knowledge of accounting and reconciliation principles.

Ability to analyze data and identify…