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Vaco Recruiter Services

Senior Accountant - Healthcare

Vaco Recruiter Services, Lexington, Kentucky, us, 40598

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Senior Healthcare Accountant – Job Description Overview The Senior Healthcare Accountant is responsible for overseeing complex accounting functions within a healthcare environment, ensuring accurate financial reporting, regulatory compliance, and adherence to GAAP and healthcare-specific accounting standards. This role partners closely with finance leadership and operational teams to support strategic and regulatory initiatives.

Key Responsibilities

Prepare and review monthly, quarterly, and annual financial statements

Ensure compliance with GAAP, Medicare/Medicaid regulations, and healthcare reporting requirements

Manage month-end and year-end close processes, including journal entries and account reconciliations

Analyze financial results and provide variance analysis to leadership

Oversee revenue recognition, patient accounts, and third‑party reimbursement accounting

Assist with cost reporting, audits, and regulatory filings

Support budgeting, forecasting, and financial planning activitiesMaintain internal controls and support SOX or internal audit requirements

Serve as a resource and mentor to junior accounting staff

Collaborate with operations, billing, and compliance teams to resolve accounting issues

Required Qualifications

Bachelor’s degree in Accounting or Finance

CPA preferred

5+ years of progressive accounting experience, including healthcare industry experience

Strong knowledge of GAAP and healthcare reimbursement models

Experience with healthcare accounting systems and ERP platforms

Advanced Excel skills

Preferred Qualifications

Experience in hospital systems, physician practices, or healthcare services organizations

Experience with Medicare/Medicaid cost reports

Prior experience supporting audits in a healthcare environment

Key Competencies

Strong analytical and problem‑solving skills

High attention to detail and accuracy

Ability to manage multiple priorities and deadlines

Strong communication and collaboration skills

Ability to work independently and lead projects

Salary range for this role is noted in this posting. The individual may also be eligible for discretionary bonuses and participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.

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