Senior Accountant- Medical​/Hospital Practices

Location: Mount Arlington

Our client is looking for a Senior Accountant with multi-location medical or hospital practice experience to join their Client Accounting & Advisory Services (CAS) group. The accountant will provide advisory and traditional bookkeeping and compliance support, partnering with clients and internal teams to provide accurate financial reporting, operational insight, and scalable accounting solutions using cloud-based technology. This is a remote role- candidate MUST reside in NJ and be able to travel occasionally to a Morris County, New Jersey office for meetings.

Required
• Bachelor’s degree in accounting or related field
• Healthcare accounting knowledge, including revenue cycle and third-party payor considerations
• 5–7 years of accounting experience, preferably in Client Accounting Services department
• Strong accrual accounting and month-end close experience and GAAP knowledge
• Quick Books Online (QBO) for GL
• Experience with  or similar AP automation tools
• Active CPA license or CPA-eligible preferred

Key Responsibilities include
• Manage day-to-day accounting for a portfolio of CAS clients, overseeing month-end and year-end close processes on an accrual basis
• Prepare and review monthly financial statements, including balance sheets, income statements, and cash flow reports and ensuring accurate revenue recognition, expense accruals, and balance sheet reconciliations
• Identify and resolve accounting issues, variances, and inconsistencies
• Assist in analyzing financial results and trends to support client decision-making
• Support budgeting, forecasting, and cash flow analysis
• Help clients improve accounting processes, internal controls, and financial visibility
• Assist with onboarding new CAS clients, including system setup and workflow design
• Identify opportunities for automation and process improvement
• Support firm initiatives related to cloud accounting, analytics, and workflow standardization Target Salary - $100k Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact  .

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications.

You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all…