Healthcare Accounting Manager & AP, Payroll & Billing Supervisor

Blackmor Cpa - Asheville, NC

Full-time - Senior

Remote - Asheville, NC

Professional, Scientific, and Technical Services

About the position

We are a professional and agile team dedicated to becoming strategic partners in payroll, accounts payable, accounting, and CFO services for healthcare companies across the United States. Our work environment is modern and supportive, featuring a blend of in-office and remote work opportunities, with food provided and ample growth opportunities for our team members. As a Healthcare Accounting Manager and AP, Payroll & Billing Supervisor, you will oversee the preparation of month-end and year-end financial statements, ensuring all activities related to closing and reconciling for post-acute healthcare are executed efficiently. You will prepare and analyze financial statements in accordance with GAAP, focusing primarily on healthcare and non-profit GAAP. Your role will also involve managing the medical billing/accounts receivable, medical/patient accounts payable, and payroll posting and reconciliation processes. You will serve as the final point of escalation for any issues related to Accounts Receivable, Accounts Payable, and Payroll, and familiarity with nursing home, home health, palliative, hospice, and Medicare billing will be advantageous. In addition to these responsibilities, you will review all month-end closing activities, including general ledger maintenance, bank reconciliations, investments, fixed assets, prepaids, debt, and other balance sheet reconciliations. You will prepare and post all donor and pledge income, ensuring compliance with permanent restrictions and programmatic designations. Enhancing and implementing financial and accounting systems, processes, tools, and control systems will be a key part of your role, as will coordinating the development and monitoring of budgets and budget-to-actual variance analysis. You will remain up to date on nonprofit audit best practices and state and federal laws regarding nonprofit operations, coordinating the annual audit and proper filing of tax returns (non-profit 990) with an outside CPA firm. Ensuring legal and regulatory compliance regarding all financial functions, including annual filings with DHHS, state Medicaid, IRS form 5500, and other compliance reporting, will be essential. You will also prepare and post journal entries to the general ledger and conduct financial analysis to identify trends, variances, and opportunities for improvement. Finally, you will assist in the development and implementation of accounting policies and procedures while providing guidance and support to junior accounting staff.

Responsibilities

• Oversee preparation of month-end and year-end financial statements and all activities related to closing and reconciling for post-acute healthcare.
• Prepare and analyze financial statements in accordance with GAAP, primarily healthcare and non-profit GAAP.
• Manage the medical billing/accounts receivable, medical/patient accounts payable, and payroll posting and reconciliation processes.
• Serve as final point of escalation for Accounts Receivable/Accounts Payable/Payroll issues.
• Review all month-end closing activities including general ledger maintenance, bank reconciliations, investments, fixed assets, prepaids, debt, and other balance sheet reconciliations.
• Prepare and post all donor and pledge income including permanent restrictions and programmatic designations, as appropriate.
• Enhance and implement financial and accounting systems, processes, tools, and control systems.
• Coordinate the development and monitoring of budgets and budget to actual variance.
• Remain up to date on nonprofit audit best practices and state and federal law regarding nonprofit operations.
• Coordinate annual audit and proper filing of tax returns (non-profit 990) with outside CPA firm.
• Ensure legal and regulatory compliance regarding all financial functions, including annual filings with DHHS, state Medicaid, IRS form 5500, and other compliance reporting.
• Prepare and post journal entries to the general ledger.
• Conduct financial analysis to identify trends, variances, and opportunities for improvement.
• Assist in the development and implementation of accounting policies and procedures.
• Provide guidance and support to junior accounting staff.

Requirements

• Bachelor's degree in Accounting or Finance.
• CPA certification a plus.
• Minimum of 5 years of experience in healthcare accounting or related role.
• Strong knowledge of GAAP principles and practices.
• Proficiency in CYMA accounting system a plus.
• Proficiency in Microsoft Excel primarily and breadth of accounting software systems.
• Experience with full-accrual accounting, principles of GAAP, and strong financial statement preparation.
• Familiarity with tax regulations and healthcare compliance requirements.
• Excellent analytical skills with attention to detail.
• Ability to prioritize tasks and meet deadlines in a fast-paced environment.
• Strong communication skills, both written and verbal.