Staff Accountant

Signet Health is recruiting a Staff Accountant for a new, free‑standing psychiatric hospital at the Permian Basin Behavioral Health Center in Midland, TX. The role involves general ledger management, financial reporting, accounts payable/receivable reconciliation, payroll support, and month‑end close processes to ensure compliance with GAAP, Texas regulations, DNV NIAHO®/ISO 9001 standards, CMS billing requirements, and internal hospital financial policies.

• General Ledger & Month‑End Close
  • Maintain the general ledger, ensuring accuracy and completeness.
  • Prepare and post journal entries (accruals, adjustments, prepaids, depreciation).
  • Reconcile accounts monthly, including Cash, Patient AR, AP, Payroll liabilities, Fixed assets, Insurance receivables.
  • Support month‑end close and assist CFO in preparing financial packages.
• Financial Reporting & Analysis
  • Prepare monthly, quarterly, and annual financial reports.
  • Assist in developing departmental and hospital‑wide budgets.
  • Analyze variances in revenue, expenses, and productivity.
  • Provide financial data to support operational and strategic planning.
• Accounts Payable & Purchasing Support
  • Process and code invoices according to chart of accounts.
  • Verify proper approvals and ensure compliance with purchasing policy.
  • Manage vendor statements and maintain positive vendor relationships.
  • Assist with preparation of annual 1099 filings.
• Accounts Receivable & Revenue Cycle Coordination
  • Work with the Business Office to reconcile patient billing and cash posting.
  • Track payer reimbursements and identify variances.
  • Support denial management and revenue cycle audits.
  • Assist CFO in reviewing contractual allowances and net revenue adjustments.
• Payroll & Employee Compensation Support
  • Review and reconcile payroll reports for accuracy.
  • Assist with payroll journal entries and accruals.
  • Reconcile payroll liabilities (benefits, taxes, retirement contributions).
  • Support HR in addressing payroll discrepancies.
• Compliance, Audit & Regulatory Requirements
  • Ensure adherence to DNV NIAHO®/ISO 9001 quality management standards, GAAP, Texas Administrative Code for healthcare financial practices, CMS cost reporting and billing requirements, HIPAA confidentiality, and internal hospital policies.
  • Assist with internal and external audits.
  • Document and maintain accounting procedures and internal controls.
• Cost Control & Financial Operations Support
  • Monitor expenses against budget and identify cost‑saving opportunities.
  • Assist department leaders with financial questions and reporting needs.
  • Track capital expenditures and fixed asset schedules.
  • Support supply chain analytics and purchasing compliance.
• Cash Management & Banking
  • Reconcile bank accounts and prepare cash flow analyses.
  • Assist CFO with treasury management and daily cash position monitoring.
  • Support deposit verification and cash ledger accuracy.
• Additional Duties
  • Assist CFO with forecasting and budget development.
  • Support cost reporting (e.g., Medicare/Medicaid).
  • Participate in DNV audits and quality improvement activities.
  • Other duties as assigned by CFO or Administration.

• Required
  • Bachelor’s degree in Accounting, Finance, or a related field.
  • Minimum 2–3 years of accounting experience.
  • Strong understanding of GAAP.
  • Experience with accounting systems/software and advanced Excel.
  • High attention to detail, accuracy, and confidentiality.
• Preferred
  • Experience in healthcare or behavioral health accounting.
  • Knowledge of DNV accreditation or ISO 9001 quality principles.
  • Familiarity with hospital revenue cycle, payers, and reimbursement.
  • Experience with ERP systems (e.g., Quick Books, Sage, Net Suite, Oracle, or hospital‑specific software).
  • Prior experience assisting with audits.
• Core Competencies
  • Analytical and financial reasoning.
  • Accuracy and attention to detail.
  • Time management and organization.
  • Communication skills.
  • Problem‑solving and critical thinking.
  • Understanding of hospital operations and financial workflows.
  • Confidentiality and ethical behavior.
  • Ability to work independently and collaboratively.
• Physical & Work Environment
  • Office‑based; frequent computer work.
  • Ability to sit for prolonged periods.
  • Occasional lifting of file boxes.
  • Must maintain confidentiality for patient, payroll, and financial information.