Staff Accountant

Staff Accountant - Permian Basin Behavioral Health Center - Midland, TX

Signet Health is currently recruiting a Staff Accountant for a New
, free-standing psychiatric hospital located at Permian Basin Behavioral Health Center in Midland, TX.

The Staff Accountant performs professional accounting duties including general ledger management, financial reporting, accounts payable/receivable reconciliation, payroll support, and month-end close processes. This position ensures compliance with GAAP, Texas regulations, DNV NIAHO®/ISO 9001 standards, CMS billing requirements
, and internal hospital financial policies. The Staff Accountant collaborates with the CFO, Business Office, and Department Directors to ensure accurate financial statements, cost controls, and support for operational decision-making.

PRIMARY RESPONSIBILITIES General Ledger & Month-End Close

• Maintain the general ledger, ensuring accuracy and completeness.
• Prepare and post journal entries (accruals, adjustments, prepaids, depreciation).
• Reconcile accounts monthly, including:
  • Cash
  • Patient AR
  • AP
  • Payroll liabilities
  • Fixed assets
  • Insurance receivables
• Support month-end close and assist CFO in preparing financial packages.
• Prepare monthly, quarterly, and annual financial reports.
• Assist in developing departmental and hospital-wide budgets.
• Analyze variances in revenue, expenses, and productivity.
• Provide financial data to support operational and strategic planning.

Accounts Payable & Purchasing Support

• Process and code invoices according to chart of accounts.
• Verify proper approvals and ensure compliance with purchasing policy.
• Manage vendor statements and maintain positive vendor relationships.
• Assist with preparation of annual 1099 filings.

Accounts Receivable & Revenue Cycle Coordination

• Work with the Business Office to reconcile patient billing and cash posting.
• Track payer reimbursements and identify variances.
• Support denial management and revenue cycle audits.
• Assist CFO in reviewing contractual allowances and net revenue adjustments.

Payroll & Employee Compensation Support

• Review and reconcile payroll reports for accuracy.
• Assist with payroll journal entries and accruals.
• Reconcile payroll liabilities (benefits, taxes, retirement contributions).
• Support HR in addressing payroll discrepancies.

Compliance, Audit & Regulatory Requirements

• Ensure adherence to:
  • DNV NIAHO®/ISO 9001 quality management standards
  • GAAP
  • Texas Administrative Code for healthcare financial practices
  • CMS cost reporting and billing requirements
  • HIPAA confidentiality when handling payroll or patient-related financial data
  • Internal hospital policies and annual audit requirements
• Assist with internal and external audits.
• Document and maintain accounting procedures and internal controls.

Cost Control & Financial Operations Support

• Monitor expenses against budget and identify cost-saving opportunities.
• Assist department leaders with financial questions and reporting needs.
• Track capital expenditures and fixed asset schedules.
• Support supply chain analytics and purchasing compliance.

Cash Management & Banking

• Reconcile bank accounts and prepare cash flow analyses.
• Assist CFO with treasury management and daily cash position monitoring.
• Support deposit verification and cash ledger accuracy.

Requirements/Qualifications Required

• Bachelor’s degree in Accounting, Finance, or related field.
• Minimum2–3 years accounting experience
  .
• Strong understanding of GAAP.
• Experience with accounting systems/software and Excel.
• High attention to detail, accuracy, and confidentiality.

Preferred

• Experience in
  healthcare or behavioral health accounting
  .
• Knowledge of
  DNV accreditation or ISO 9001 quality principles.
• Familiarity with
  hospital revenue cycle
  , payers, and reimbursement.
• Experience with ERP systems (e.g., Quick Books, Sage, Net Suite, Oracle, or hospital-specific software).
• Prior experience assisting with audits.

CORE COMPETENCIES

• Analytical and financial reasoning
• Accuracy and attention to detail
• Time management and organization
• Problem-solving and critical thinking
• Understanding of hospital operations and financial workflows
• Confidentiality and ethical behavior
• Ability to work independently and collaboratively

PHYSICAL & WORK ENVIRONMENT

• Ability to sit for prolonged periods.
• Occasional lifting of file boxes (