Accountant, Financial Reporting, Accounting Manager

Benefits

• 401(k)
• Competitive salary
• Dental insurance
• Employee discounts
• Health insurance
• Paid time off
• Vision insurance

JOB TITLE: Accountant

DEPARTMENT: Administration

REPORTING RELATIONSHIP

Reports to:

Chief Executive Officer (CEO)
Works closely with:
HR Coordinator, Independent CPA, Practice Leadership
Supervises:
None

To apply:

Submit resume and cover letter

The Accountant is responsible for the day-to-day accounting and financial operations of a large dermatology practice. This role ensures accurate financial records, timely reporting, regulatory compliance, and effective coordination with an external CPA firm for monthly close, financial reporting, and year-end activities. The position supports leadership with reliable financial information and collaborates closely with HR on payroll processing and related reconciliations.

General Accounting & Financial Operations

• Maintain the general ledger and ensure accurate recording of all financial transactions across multiple practice entities and locations.
• Prepare and post journal entries, accruals, and adjustments in accordance with GAAP.
• Reconcile bank accounts, credit cards, and clearing accounts on a monthly basis.
• Maintain accurate and complete financial records, including balance sheets, profit and loss statements, and supporting schedules.
• Ensure confidentiality and security of all financial and payroll information.

Monthly Close & Financial Reporting

• Coordinate and manage the monthly close process, including timelines, reconciliations, and documentation.
• Prepare preliminary monthly financial statements and variance analyses for review by the CEO and CPA.
• Serve as the primary internal liaison with the independent CPA firm for monthly financial reporting, adjusting entries, and financial reviews.
• Provide financial data and support for budgeting, forecasting, and cost containment initiatives.

Accounts Payable & Cash Management

• Review, code, and process vendor invoices; ensure accuracy, proper approvals, and timely payment.
• Maintain vendor files, W-9s, and accounts payable records.
• Monitor cash flow and assist leadership with short-term cash planning.
• Cut checks weekly.
• Maintain payables that are automatically deducted and ensure they are recorded and paid correctly.

Payroll & HR

• Work closely with the HR Coordinator to process bi-weekly payroll accurately and on time.
• Prepare monthly payroll.
• Calculate, enter and pay bankruptcies/wage garnishments.
• Reconcile payroll registers to the general ledger each pay period and monthly.
• Ensure proper accounting for benefits, deductions, bonuses, and payroll taxes.
• Maintain files on uniform allowances and CME6s to ensure limits are not exceeded.
• Complete annual payroll audits and year-end reporting (e.g., W-2s, 10999s, 1095C9s and 1099C9s)
• Send The Trust Company contributions after every payroll.
• Send HSA funding after every payroll.

Tax & Compliance Support

• Maintain records and schedules for payroll, sales, use, and other applicable taxes.
• File Sales Tax reports monthly.
• File F&E taxes quarterly.
• Support CPA firm with year-end tax preparation, audits, and regulatory reporting.
• Ensure compliance with healthcare-related financial regulations and internal controls.

Systems, Documentation & Process Improvement

• Maintain accounting systems and ensure appropriate backups and data integrity.
• Document accounting processes and internal controls; recommend improvements for efficiency and accuracy.
• Support implementation or optimization of accounting, payroll, or practice management systems as needed.

Other Duties

• Participate in leadership or operational meetings as requested.
• Assist with special projects, financial analyses, or audits.
• Perform other duties as assigned to support the financial health of the organization.
• Order and maintain appropriate office supplies.

Education

• Bachelor’s degree in accounting.

Experience

• Minimum of 3–5 years of progressive accounting experience required.
• Healthcare or multi-entity professional practice experience strongly preferred.
• Experience coordinating with external CPA firms required.
• Payroll processing and reconciliation experience required.

Technical Skills

• Profic…