Accounting Specialist - Long Term Care

Job Description

Posted Monday, June 15, 2026 at 6:00 AM

About La Crosse County: At La Crosse County, we are committed to creating a vibrant, safe, and inclusive community. Guided by our Strategic Plan, we focus on economic growth, environmental stewardship, affordable housing, and robust public services that enhance the quality of life for all residents.

• Wisconsin Retirement System (WRS): A top-rated pension program.
• Affordable Insurance Premiums:
  Comprehensive health, dental, and vision coverage.
• Generous Paid Time Off:
  Vacation, sick, and 10+ paid holidays annually.
• Work-Life Balance:
  Flexible schedules and wellness programs.

Diversity, Equity, Inclusion, and Belonging (DEIB): At La Crosse County, we believe that diversity strengthens our community. We are committed to fostering an inclusive workplace where all employees feel valued.

Accounting Specialist - Long Term Care

Non
- Exempt

Lakeview Health Center & Assisted Living, West Salem, WI

$23.99 per hour

Monday-Friday, 65 hours per pay period

This is an accounting/record keeping position for the Long-Term Care Campuses. Duties include processing resident admissions and discharge, billing for services, accounts receivable, accounts payable, receipting revenues, preparation of journal entries and spreadsheets, resident funds, petty cash, and other accounting and administrative duties.

• Act with Integrity and Build Trust:
  Demonstrate mutual respect, humility, and honesty in all interactions; speak up appropriately, even when expressing unpopular viewpoints; actively listen and remain open-minded to diverse perspectives.
• Drive for Results:
  Set clear goals and objectives to motivate self and others to achieve outcomes; seek new opportunities to improve processes and drive sustainable results; hold self and others accountable through consistent evaluation and monitoring.
• Develop Talent and Effective Teams:
  Foster a collaborative environment that encourages knowledge sharing and growth; provide mentorship and support to help self and others reach full potential; recognize and leverage diverse strengths within self and team.
• Lead with Vision and Strategy:
  Understand and communicate a compelling vision that aligns with organizational goals; develop and execute comprehensive strategies to achieve long-term objectives; connect daily work to the bigger picture, inspiring self and others to contribute meaningfully.
• Lead with Paradoxical, Critical, and Agile Thinking:
  Navigate complex situations by considering multiple perspectives; adapt quickly to changes and uncertainties in the work environment; make critical decisions using analytical skills, experience, and input from others.
• Build and Maintain Effective Relationships:
  Communicate and collaborate effectively with stakeholders across the organization; influence others through coaching, consulting, and team-minded thinking; develop and sustain partnerships that create positive outcomes for all stakeholders.
• Cultivate Community Engagement and Provide Excellent Service:
  Understand and address the needs and concerns of the community; drive initiatives that create positive impacts beyond the organization; show self-awareness and manage emotions effectively in challenging situations; seek and respond constructively to feedback, even in the face of setbacks; balance empathy with accountability when leading self and working with others.

Prepares and submits monthly billings for resident care and other charges to several pay sources using various computer programs. Creates all reports associated with this process.

Maintains and prepares General fund deposits, codes and posts payments to proper accounts. Posts cash receipts to Electronic Charting System (ECS) and Excel spreadsheets. Prepares accounts receivable aging monthly.

Maintains donation funds by disbursing payments in accordance with proper authorization and receipts; determines proper account code; and prepares appropriate journal entries.

Prepares journal entries for operating and County expenses, ancillary revenues, accounts payable, and miscellaneous accounts receivable.

Performs accounting duties related to resident trust fund activity and petty cash, including deposits, withdrawals, allocations, statement generation and reconciliation.

Maintains resident admissions and discharge information, including entering data into ECS, Social Security reports, Insurance reports, Medicaid or Medicare eligibility paperwork, and other paperwork as needed.

Reports and discusses delinquent accounts with the Fiscal Manager, attempts to collect delinquent accounts and files claims with probate.

Processes Medical Assistance transmittals, termination reports, and other Medical Assistance paperwork processed and tracked.

Enters general journal entries in New World System.

Prepares routine accounting reports for management use/control.

Documents and ensures keeping of valuables and items that residents ask to keep;…