Staff Accountant

The Staff Accountant is responsible for the day-to-day accounting operations of Texas Radiology Associates, LLP (TRA), a multi-site radiology physician practice. Reporting to the Sr. Staff Accountant, this position maintains the general ledger on a cash basis, performs account reconciliations, accounts payable support, and month-end close activities, and manages client and contract billing for hospital stipends, call coverage, and other contractually due amounts.

This role plays a critical part in maintaining accurate, timely, and audit-ready financial records that support practice leadership, the Board of Directors, and TRA's physician partnership.

• Maintain the general ledger on a cash basis, including journal entries and adjusting entries.
• Support month-end and year-end close and prepare monthly balance sheet and bank reconciliations. (bank, credit card, prepaid, and internal accounts)
• Process accounts payable, including invoice coding, payment runs, and expense reimbursements.
• Prepare and issue monthly client invoices for hospital stipends, call coverage, and other contractual amounts due, in accordance with agreement terms.
• Maintain a contract billing schedule tracking each agreement's billing frequency, amounts and effective dates, and reconcile against supporting documentation prior to invoicing.
• Monitor client receivables, apply payments, and follow up on past-due balances.
• Perform the quarterly cash-to-accrual (GAAP) conversion and maintain supporting bridge work papers for the quarterly GAAP audit.
• Serve as audit liaison for the quarterly GAAP audit, preparing schedules and responding to auditor requests and resolving findings under the direction of the Controller.
• Assist in the preparation of monthly, quarterly, and annual financial statements and management reports for practice leadership, partners and the Board of Directors.
• Support physician partner accounting, including distributions, capital accounts, and buy-in/buy-out transactions.
• Assist with payroll processing and payroll-related accounting, including reviewing payroll registers, recording payroll journal entries and accruals, reconciling payroll tax, benefit, and 401(k) accounts, and coordinating with HR on payroll data from the UKG Ready system.
• Process independent contractor (1099) invoices and payments, verify W-9 documentation, and maintain accurate records to support year-end 1099 reporting
• Prepare schedules for the annual budget, tax filings, regulatory filings, and reporting with external accountants.
• Identify opportunities to improve accounting processes, internal controls, and documentation; maintain organized, audit-ready records in compliance with confidentiality requirements (HIPAA); and provide backup support and special projects as assigned by the Controller

• Bachelor's degree in Accounting, Finance, or a related field required; CPA or CPA-eligibility a plus.
• Four (4) or more years of progressive accounting experience; healthcare, physician practice, or multi-entity/multi-site experience strongly preferred.
• Solid working knowledge of both cash-basis and accrual (GAAP) accounting, including hands-on experience with cash-to-accrual conversions, general ledger accounting, and the month-end close process.
• Experience supporting external financial statement audits, including preparation of PBC schedules and audit work papers, strongly preferred.
• Experience with contract or client billing (hospital stipends, professional services agreements, or similar B2B invoicing) preferred.

• Proficiency in Microsoft Excel (pivot tables, VLOOKUP/XLOOKUP, and complex formulas) and experience with accounting/ERP systems (e.g., Quick Books, Sage Intacct, or similar).
• Fa…