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Aprio Talent Solutions

Staff Accountant

Aprio Talent Solutions, Palo Alto, California, United States, 94306

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Overview Staff Accountant - full-time / permanent position with a direct client of Aprio Talent Solutions. Location: Palo Alto, CA - Downtown North (on-site required, five days a week).

Base pay range $50.00/hr - $65.00/hr

Why It’s Worth Your Time Join an established medical practice that is growing.

What You’ll Own

Utilize NetSuite to manage multi-entity accounting under an MSO structure

Maintain accurate general ledger records across multiple entities

Record and reconcile daily transactions including A/P, A/R, payroll, and bank feeds

Process vendor invoices, employee reimbursements, and payments in compliance with policies

Reconcile bank accounts, credit cards, and intercompany balances monthly

Support month-end, quarterly, and year-end close (journal entries, accruals, reconciliations)

Prepare financial reports and summaries for management and partner practices

Monitor cash flow and prepare cash flow statements and projections

Provide quarterly financials with comparisons to prior periods and prior year

Identify and report significant expense variances (10%+ month over month)

Coordinate with practice managers to ensure accurate revenue and expense allocations

Support audits and ensure compliance with state-specific regulations and internal controls

Maintain vendor records, W-9s, and assist with 1099 preparation

Collaborate with external accountants and auditors during audits and tax season

Continuously seek process improvements leveraging NetSuite functionality

Must-Haves

Bachelor’s degree in Accounting

Expert-level proficiency in NetSuite

3+ years of experience with MSO healthcare accounting (or private equity)

Solid understanding of GAAP and bookkeeping best practices

High attention to detail, accuracy, and organizational skills

Nice to Have

Experience in healthcare or medical group settings

Familiarity with revenue cycle management and healthcare billing concepts

Experience supporting outsourced CPA firms or auditors

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Accounting/Auditing

Industries

Medical Practices

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