Accountant Job at NeighborHealth Center in Raleigh

Overview

The Accountant at NeighborHealth Center supports the financial integrity and operational sustainability of the health center by maintaining accurate accounting records in compliance with GAAP and federal grant regulations. The role includes general ledger maintenance, account reconciliations, journal entries, and financial reporting to ensure transparency, accountability, and sound fiscal management. In an FQHC setting, the Accountant works with the finance team to ensure compliance with HRSA and Uniform Guidance (45 CFR Part 75) requirements, including grants management, allowable costs, and financial audits.

Responsibilities

• Prepare and post journal entries to the general ledger in accordance with GAAP and organizational policies.
• Reconcile bank accounts, balance sheet accounts, and subsidiary ledgers monthly.
• Assist in the preparation of timely and accurate monthly, quarterly, and annual financial statements.
• Support month-end and year-end close processes, ensuring adherence to deadlines and completeness.
• Resolve discrepancies or irregularities found in financial records, statements, or documented transactions.
• Track and monitor revenues and expenditures for federal grants in compliance with 45 CFR Part 75.
• Track and monitor revenues and expenditures for state and private grants in compliance with grant contracts, agreements, and regulatory requirements.
• Maintain proper documentation to support grant reimbursements and assist in drawdown submissions.
• Prepare grant financial reimbursements and reporting to ensure costs are allowable, allocable, and reasonable under grant requirements (e.g., Uniform Guidance).
• Review vendor invoices and employee reimbursements for proper coding, documentation, and compliance.
• Review receivable invoices and payments for proper coding, documentation, and compliance.
• Support the Accounts Payable function with proper entry, 1099 tracking, and vendor file maintenance.
• Assist in reconciling patient accounts, third-party reimbursements, and other receivables to sub-ledger.
• Prepare supporting schedules and documentation for annual independent audits, Uniform Guidance single audits, and other financial reviews.
• Maintain organized financial records in alignment with audit requirements and FQHC-specific compliance standards.
• Support internal control monitoring and segregation of duties, reporting any variances or irregularities.
• Assist with annual budget preparation by gathering and analyzing historical financial data.
• Track budget-to-actual variances and provide reports for departmental review.
• Support cash flow forecasting and financial planning processes.
• Use accounting software (e.g., QuickBooks, Sage Intacct, Blackbaud) and electronic systems to streamline workflow.
• Participate in system upgrades or implementations of accounting automation tools.
• Recommend and assist in implementing improved accounting procedures to ensure efficiency and accuracy.
• Work collaboratively with finance team members, clinical and operational departments, and external partners.
• Provide financial information and support to department heads in a clear and accessible manner.
• Participate in cross-training and back-up functions within the finance team.
• Conduct special studies and analysis, and perform other related duties as assigned.

Qualifications

Skills or Abilities

• Strong understanding of Community Health Center finance and accounting practices.
• Above-average skills in accounting, computer literacy, and time management.
• Highly proficient in QuickBooks, Microsoft Excel, and Outlook. QuickBooks certification is a plus.
• Ability to quickly grasp and simplify complex accounting topics.
• Strong verbal and written communication skills.
• Professionalism and discretion in handling confidential financial information.
• Operate independently and work well with other Finance and NHC staff.
• High attention to detail and accuracy.
• Ability to handle a large, diverse volume of work efficiently.
• Strong practical thinking and problem-solving skills.
• Ability to cultivate inclusive and equitable working relationships with co-workers and community members.
• Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds.

Education, Experience, or Licensure

• Bachelor’s degree in accounting or associate degree with additional relevant experience may be considered.
• Minimum of three years related experience with increasing responsibilities; bookkeeping certification will be considered.
• 2–3 years of accounting experience, preferably in healthcare or nonprofit setting.
• Experience with federal grants accounting or knowledge of 45 CFR Part 75 (Uniform Guidance) preferred.
• Familiarity with FQHC operations, HRSA funding, or Medicaid/Medicare billing is a strong plus.
• Ability to work onsite Monday–Friday during 8:00 am–5:00 pm.
• Ability to read, write, speak, and comprehend English fluently.
• Up-to-date immunizations.

Physical Requirements

Sitting or standing for prolonged periods; carrying or lifting objects up to 20 pounds.

Equal Employment Opportunity

NeighborHealth Center is an Equal Opportunity Employer. NHC is dedicated to building a culturally diverse staff committed to serving a diverse patient population. We encourage applications from women, minority groups, veterans, and people with disabilities.

To maintain accuracy and avoid redundancy, this refined description excludes duplicated boilerplate and non-job-relevant text from the original.