Financial Accountant

General Description:  

• Prepare financial reports monthly and in other capacity as necessary.       

• Assist in the yearly audit as required.
• Maintain records as required by state and federal regulations.
• Prepare Medicare and Medicaid Cost Reports utilizing software.

• Reconcile accounts as necessary along with General Ledger narration and analysis.
• Maintain life-calc for LUF Income and FASB requirements.

• Act as backup other positions in the accounting office.

Essential Job Functions:  

1.       Assists in the preparation of reports required by Management.

2.       Prepares journal entries.

3.       Prepares and maintains statistics as directed by CFO

4.       Analyzes general ledger accounts monthly.

1. Represents the facility at meeting as required by CFO
2. Knowledge of reimbursement criteria for both Medicare and Medicaid
3. Performs any other duties and responsibilities that may become necessary or as directed by Supervisor

8.       Supervision of staff accountant and bookkeeping.

Key Characteristics:

1. Demonstrates neatness, accuracy and dependability.
2. Contributes, develops and carries out new ideas.
3. Demonstrates an ability to work with others.
4. Ability to work independently.
5. Ability to work in cost and time efficient manner.
6. Teaches skills and knowledge to new staff.
7. Wears appropriate clothing/uniform.  Appearance is neat and well kept.
8. Relates well with residents; is friendly and pleasant.
9. Demonstrates good safety habits­—uses equipment appropriately.
10. Attendance/punctuality—comes to work when scheduled and on time.
11. Attends required in-services.

Equipment to be used:

          Computer                      Printer                   Fax                      Copier

            Postage machine                     Calculator

Key Accountabilities (with or without reasonable accommodation):

• Knowledge to implement and prepare accurate and timely Medicaid and Medicare cost reports as required
• Maintains accuracy over general ledger accounting including all necessary journal entries for timely preparation of financial statements. 
• Maintains records on ongoing basis to comply with audit requirements; prepare all schedules and interact with auditors through audit completion.
• Oversight and implementation of LIFECALC system for accurate recording of EPP amortization revenues.

Qualifications

Financial Accountant

Position Summary

This role is responsible for leading month-end close activities and supporting complex accounting areas, including Medicaid/Medicare reimbursement, healthcare cost reporting, grant compliance, and large fixed asset portfolios. The position will provide day-to-day coordination and technical guidance across the accounting team, with a strong emphasis on accuracy, documentation quality, and compliance.

Key Responsibilities

• Lead and coordinate month-end and year-end close, ensuring all entries, reconciliations, and schedules are accurate, complete, and supported.
• Prepare journal entries, accruals, reconciliations, and variance analyses with a high level of attention to detail and data integrity.
• Manage accounting for a large fixed asset portfolio, including capitalization, depreciation, disposals, transfers, impairments, and detailed asset reconciliations.
• Oversee construction-in-progress (CIP) and capital project accounting, ensuring timely capitalization and proper documentation.
• Support accounting for patient service revenue, including Medicaid and Medicare reimbursements, contractual adjustments, and related accruals.
• Assist with preparation and support of Medicare and Medicaid cost reports, including detailed schedules, reconciliations, and audit support.
• Ensure compliance with nonprofit GAAP, healthcare regulations, capitalization policies, grant requirements, and internal controls.
• Serve as a technical accounting resource and point of escalation during the close process, proactively identifying and resolving discrepancies.
• Partner with management team and finance team to ensure accurate and consistent financial reporting.
• Assist with annual financial audits, cost report audits, and fixed asset audits by providing well-organized, audit-ready documentation.
• Identify and implement process improvements to strengthen accuracy, efficiency, and compliance across accounting activities.
• Serve as additional backup for payroll.
• Perform or review payroll-related account reconciliations, including payroll clearing, accrued wages, PTO, and payroll taxes.
• Generate and analyze payroll system reports to support reconciliations and serve as a resource for resolving discrepancies, coordinating with HR and payroll teams.
• Oversee amortization of CCRC entrance fees and related deferred revenue, ensuring compliance with GAAP, nonprofit standards, and organizational policies.
• Maintain accurate schedules and reporting for entrance fee revenue, using CCRC software, coordinating with finance leadership and auditors.
• Assumes additional responsibilities to support departmental and organizational needs.

Communication & Functional Leadership Skills — Must Have

• Strong functional leadership communication skills, coordinating close activities and priorities via team collaboration.
• Excellent written communication skills for reconciliations, capitalization memos, cost report support, grant documentation, and audit materials.
• Collaborative and detail-oriented communication style, ensuring expectations, timelines, and deliverables are clearly understood.
• Proactive issue identification and escalation, clearly communicating risks, variances, and resolution plans under tight deadlines.

Technical Skills

• Extensive Excel expertise (required), including advanced formulas, pivot tables, lookups, large data reconciliations, and error-checking.
• Sage Intacct experience (required or strongly preferred) for general ledger, fixed assets, reporting, and multi-entity environments.
• PointClickCare experience (a plus), particularly related to census, billing, or healthcare operational data
• Strong ability to work with large, complex data sets while maintaining a high level of accuracy.
• WC Audit
• 401k Audit
• Payroll experience
• Critical thinking—strong analytical skills

Qualifications

• Bachelor’s degree in Accounting or Finance
• 10+ years of accounting experience, preferably in nonprofit healthcare
• Demonstrated experience leading month-end close in a complex, regulated environment
• Hands-on experience managing large fixed asset portfolios and capital projects
• Working knowledge of Medicaid/Medicare reimbursement, healthcare cost reporting, and grant compliance
• Demonstrated track record of exceptional attention to detail, accuracy, and audit-ready work
• Experience with various audits such as workman’s compensation and pension plan audits
• Payroll experience