Senior Accountant

Senior Accountant

The Senior Accountant is responsible for supporting the financial operations of a hospital or health system through accurate accounting, financial reporting, and analysis. This role plays a key part in the month-end close process, account reconciliations, and regulatory reporting, while partnering with revenue cycle and operational departments to ensure financial accuracy and compliance. The ideal candidate will have strong technical accounting skills and experience within a hospital or healthcare environment.

• Prepare and post journal entries and maintain general ledger accuracy.
• Perform monthly, quarterly, and annual account reconciliations, ensuring timely resolution of variances.
• Support the month-end and year-end close processes, including financial statement preparation.
• Assist with net patient revenue calculations, contractual adjustments, and reimbursement analysis.
• Collaborate with revenue cycle and patient financial services teams to ensure accurate reporting of patient accounts and receivables.
• Support the preparation of Medicare and Medicaid cost reports and other regulatory filings.
• Analyze financial results and provide variance explanations to leadership.
• Assist with budgeting and forecasting processes.
• Participate in internal and external audits, including financial statement and compliance audits.
• Identify process improvement opportunities and support system enhancements or implementations.
• Maintain compliance with GAAP, healthcare regulations, and internal policies and procedures.

• Bachelor's degree in Accounting or Finance required.
• 3-5+ years of progressive accounting experience, with hospital or healthcare experience preferred.
• Strong knowledge of GAAP and financial reporting principles.
• Experience with ERP systems and advanced Excel skills.
• Understanding of healthcare reimbursement concepts (Medicare, Medicaid, commercial payors) preferred.
• Strong analytical, organizational, and problem-solving abilities.
• Excellent communication skills with the ability to collaborate across departments.

• CPA or CPA-eligible preferred.
• Experience with hospital financial systems.
• Familiarity with regulatory reporting or cost report preparation.
• Experience in a multi-entity healthcare organization.

• Salary range: $75,000 - $95,000 (based on experience)
• Bonus eligibility
• Comprehensive benefits package (medical, dental, vision)
• Retirement plan with employer match
• Paid time off and holidays
• Growth and advancement opportunities within the organization

Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact

Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present you as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application.

In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.