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Senior Accountant

Job in Winston-Salem, Forsyth County, North Carolina, 27103, USA
Listing for: EMSMC
Full Time position
Listed on 2026-07-18
Job specializations:
  • Accounting
    Financial Reporting, Accounting Manager, Financial Analyst, Accounts Receivable/ Collections
  • Finance & Banking
    Financial Reporting, Accounting Manager, Financial Analyst, Accounts Receivable/ Collections
Job Description & How to Apply Below
Description

Job Summary

The Senior Accountant is responsible for performing complex accounting processes, preparing and analyzing monthly balance sheet and income statement activity, and managing client billing, revenue recognition, and receivables in accordance with contractual requirements. This role applies advanced accounting principles to support the accurate closing and reporting of financial results and collaborates with internal and external stakeholders, including banking partners, auditors, and the Board of Directors, to ensure the integrity of financial information.

Major Responsibilities/Activities

* Client Receivables:
Record cash receipts and manage account billing and receivables according to client contract, manage merchant accounting processes; maintain daily / monthly reconciliation of credit card payments accepted on behalf of patients within client accounts, allocate corporate costs to proper subsidiaries, administer client pricing updates and client billing arrangements in accordance with client contract terms through coordination with Operations and Sales associates.

* General Ledger Accounting:
Prepare and analyze general ledger account reconciliations, maintain supporting schedules, research and resolve variances, prepare and post complex journal entries, and ensure the accuracy and integrity of balance sheet and income statement accounts in accordance with company accounting policies and GAAP.

* Treasury Management:
Process vendor ACH payments and support treasury activities by preparing and processing client disbursements during the month-end close process while ensuring appropriate approvals and controls.

* Client Independent Dispute Resolution (IDR):
Manage the accounting aspects of the IDR payment process, including processing mediator payments, reconciling payments and refunds, and preparing reports to support accurate client billing.

* Financial Systems:
Participate in the implementation, testing, maintenance, and enhancement of financial systems, including software upgrades, server migrations, and process improvement initiatives.

* Cross-Functional Collaboration:

Partner with internal departments, clients, and external vendors to resolve accounting, billing, payment, and financial reporting matters while providing exceptional customer service.

* Financial Reporting & Analysis:
Prepare monthly financial statements, reconcile bank accounts and subsidiary ledgers, analyze journal entries and account activity, investigate variances, perform budget-to-actual analyses, and maintain fixed asset accounting, including acquisitions, depreciation, and disposals.

* Internal Controls:
Partner with operating departments to strengthen financial controls, improve accounting processes, and support sound budgetary and financial management practices.

Audit Support:
Support annual financial statement audits, 401(k) audits and corporate tax filings, and other regulatory reporting.

* Perform other duties as assigned.

Contacts / Relationships

* Position requires frequent contact with individuals at all business levels inside the Company. This will require frequent telephone and/or personal contact throughout the Company regarding client receivables and to communicate finance-related information and analysis results. Contacts with client representatives and outside vendors are periodically required to discuss billing issues.

* Individual assigned to this position will have frequent access to confidential documents such as financial statements, client information, and banking information which are considered highly confidential and should be contained to the assigned department. Knowledge of the Company's products and services are confidential and should be contained to the Company.

Requirements

Required Education, Skills & Experience

* Bachelor's degree in Accounting, Finance, or related field; or comparable education and work experience.

* 4-7 years of progressive accounting experience.

* Experience using accounting/ERP systems, preferably Sage Intacct or Quick Books Enterprise, including integrations with payroll, expense management (T&E), treasury, or other financial systems.

* Strong knowledge of Generally Accepted Accounting Principles (GAAP), general ledger accounting, chart of accounts structure, financial reporting, and account reconciliation.

* Working knowledge of payroll accounting and related accounting transactions.

* Strong analytical and problem-solving skills with the ability to identify discrepancies, research issues, and recommend solutions.

* Ability to work independently, manage multiple priorities, and consistently meet deadlines with minimal supervision.

* Advanced proficiency in Microsoft Excel, including Pivot Tables and data analysis tools, and proficiency with Microsoft Office applications.

* Excellent written and verbal communication skills with the ability to collaborate effectively across departments and with external stakeholders.

* Demonstrated ability to handle confidential financial and…
Position Requirements
10+ Years work experience
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