Staff Accountant

The Staff Accountant supports day-to-day accounting operations for a medical and 501(c)(3) nonprofit organization. This role processes payroll and assists with reconciliations, journal entries, billing integrations, and financial reporting while ensuring compliance with GAAP, nonprofit standards, and state and federal healthcare regulations, including AHCA and Medicaid requirements.

• Process biweekly payroll by reviewing and validating employee time records, pay rates, deductions, and approvals; submit payroll accurately and on time; reconcile payroll reports to the general ledger; and resolve discrepancies in compliance with internal controls, labor laws, and organizational policies.
• Assist with month‑end close, including journal entries and account reconciliations
• Perform bank, credit card, and balance sheet reconciliations
• Support accounts payable and accounts receivable processes
• Assist with medical billing integration, ensuring charges, payments, and adjustments align with the general ledger
• Reconcile billing system data (EMR/EHR or billing software) to accounting records
• Track expenses by program, grant, cost center, and funding source
• Assist with Medicaid, Medicare, and AHCA‑related cost report schedules
• Maintain organized documentation for audits, grants, and compliance review
• Follow internal controls and nonprofit accounting best practices
• Perform other accounting and finance support tasks as assigned

• Bachelor’s degree in Accounting, Finance, or related field
• 2–3 years of accounting and payroll experience (internship or healthcare/nonprofit exposure a plus)
• Basic understanding of GAAP and nonprofit accounting
• Proficiency in Microsoft Excel (pivot tables, formulas)
• Strong reconciliation and analytical skills
• Strong attention to detail and willingness to learn

• Exposure tomedical / non‑profit accounting
• Familiarity with Quick Books, Sage Intacct, or similar systems
• Knowledge in processing payroll and familiarity with Paycom or other payroll systems
• Understanding of fund accounting, grants, or restricted funds
• Experience supporting audits or cost reports
• Knowledge of Medicaid, Medicare, or state funding programs