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GWAVA

Bookkeeper / Healthcare Accounting Specialist

GWAVA, Utica, New York, United States

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Bookkeeper / Healthcare Accounting Specialist Omni Surgery Center, a AAAHC-accredited ambulatory surgery center, and Omni Pain & Precision Medicine, a multi‑site interventional pain management practice, are seeking a detail‑oriented and experienced Bookkeeper / Healthcare Accounting Specialist. This role supports the financial operations of both entities, ensuring accurate bookkeeping, regulatory compliance, and timely financial reporting in a healthcare‑regulated environment.

The ideal candidate has prior experience in medical practice accounting, understands ASC and professional fee structures, and is comfortable working with multiple legal entities, cost centers, and payer‑driven revenue streams.

Key Responsibilities Core Accounting & Bookkeeping

Maintain general ledgers for multiple related healthcare entities

Post and reconcile daily financial transactions

Manage accounts payable and accounts receivable

Perform monthly bank, credit card, and merchant account reconciliations

Prepare and track intercompany transactions and allocations

Maintain fixed asset and depreciation schedules

Healthcare‑Specific Financial Functions

Reconcile deposits against billing and collections reports (ASC facility fees and professional fees)

Coordinate with billing companies and revenue‑cycle vendors

Track insurance payments, patient payments, and adjustments

Assist with tracking payer mix, write‑offs, and contractual adjustments

Support preparation of financial data for audits, AAAHC surveys, and compliance reviews

Payroll & Expense Oversight

Support payroll processing and payroll reconciliations

Track employee reimbursements, stipends, and expense reports

Monitor benefits, taxes, and withholdings in coordination with payroll vendors

Reporting & Compliance

Generate monthly financial statements (P&L, balance sheet, cash flow)

Assist with budgeting, forecasting, and variance analysisSupport year‑end close and coordination with CPAs and tax advisors

Ensure documentation and processes align with healthcare compliance requirements

Work Environment

Professional healthcare setting

Collaborative administrative and clinical leadership team

Emphasis on accuracy, compliance, and operational excellence

Qualifications Required

3+ years of bookkeeping or accounting experience

Associate’s or bachelor’s degree in accounting, Finance, or related field

Strong understanding of GAAP principles

Proficiency with accounting software (QuickBooks or similar)

High attention to detail and strong organizational skills

Ability to manage confidential financial and patient‑adjacent information

Experience handling multiple entities or locations

Preferred

Experience with ambulatory surgery centers (ASC)

Prior experience in healthcare, medical practice, or ASC environments

Familiarity with medical billing workflows and revenue cycle management

Experience coordinating with external billing and payroll vendors

Experience supporting audits or accreditation surveys (AAAHC, CMS)

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