Accountant

Ncc-Solutions,-Inc; North Royalton (OH); On-site; USD 58,000 - 82,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Retirement plan

PTO & holidays

Professional development

Job summary

NCC Solutions Inc. seeks an Accountant to support financial health, regulatory compliance, and operational effectiveness. You will manage daily accounting, assist Medicaid billing, and prepare audit-ready financials for leadership.

The role emphasizes GAAP compliance, nonprofit standards, and cross‑department collaboration to align budgets with staffing and program needs.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field.
• 2–4 years of accounting experience; nonprofit/healthcare preferred.
• Experience with Medicaid Waiver and ICF billing required.
• Proficiency in QuickBooks or Sage and Excel.

Responsibilities

• Maintain general ledger entries, journal entries, and reconciliations.
• Process accounts payable, accounts receivable, and payroll entries.
• Support Medicaid Waiver and ICF billing processes and documentation.
• Prepare monthly, quarterly, and annual financial reports.
• Assist with audits and ensure compliance with GAAP and nonprofit standards.

Skills

Medicaid billing knowledge

Financial analysis

GAAP knowledge

Detail-oriented

Education

Bachelor’s degree in Accounting/Finance

Tools

QuickBooks

Sage

Microsoft Excel

Job description

Description

The Accountant plays a critical role in supporting the financial health, regulatory compliance, and operational effectiveness of NCC Solutions Inc., a nonprofit organization providing ICF and Medicaid Waiver services to individuals with developmental disabilities. This position manages daily accounting functions, supports Medicaid billing and reimbursement processes, prepares financial reports, and ensures compliance with nonprofit, state, and federal regulations. The Accountant provides accurate, timely financial information that enables the CEO and leadership team to make informed strategic decisions.

Core Competencies

• Financial Accuracy & Attention to Detail
• Regulatory & Medicaid Billing Knowledge
• Analytical Thinking
• Integrity & Ethical Judgment
• Organizational Skills
• Collaboration & Communication
• Problem-Solving

Key Responsibilities

1. General Accounting & Financial Operations

• Maintain accurate general ledger entries, journal entries, and account reconciliations.
• Process accounts payable, accounts receivable, and payroll-related entries.
• Assist with month-end and year-end closing processes.
• Prepare financial schedules, supporting documentation, and audit-ready files.
• Monitor cash flow, deposits, and bank activity to support organizational stability.

2. Medicaid Waiver & ICF Billing Support

• Support Medicaid Waiver and ICF billing processes, ensuring accuracy of service units, documentation, and reimbursement claims.
• Reconcile Medicaid payments, denials, and remittances; identify discrepancies and coordinate corrections.
• Collaborate with program leadership to ensure billing documentation meets Ohio DODD, CMS, and Medicaid requirements.
• Maintain current knowledge of reimbursement rules, rate structures, and billing compliance standards.

3. Financial Reporting & Analysis

• Prepare monthly, quarterly, and annual financial reports for the CEO and leadership team.
• Conduct variance analyses, cost tracking, and trend reviews to support strategic planning.
• Assist with annual budget development and ongoing budget monitoring.
• Track expenditures for grants, restricted funds, and special projects.

4. Compliance & Audit Support

• Ensure adherence to GAAP, nonprofit accounting standards, and internal financial policies.
• Support annual independent audits, cost reports, and regulatory reviews.
• Maintain organized financial records in accordance with federal, state, and nonprofit requirements.
• Assist with IRS Form 990 preparation and other required filings.

5. Cross-Department Collaboration

• Work closely with HR, Operations, and Program Directors to ensure financial alignment with staffing models, service delivery, and documentation requirements.
• Provide financial guidance to managers regarding budgets, spending, and compliance.
• Support continuous improvement of financial processes and internal controls.

Compensation & Benefits

• Competitive salary based on experience
• Health, dental, and vision insurance
• Retirement plan with employer contribution
• Paid time off and holiday scheduleProfessional development opportunities
• Mission-driven, supportive work environment

Requirements

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• Minimum 2–4 years of accounting experience; nonprofit or healthcare/human services experience strongly preferred.
• Experience with developmental disability services, including Medicaid Waiver and ICF billing, required.
• Knowledge of GAAP and nonprofit accounting standards.
• Proficiency with accounting software (e.g., QuickBooks, Sage, or similar) and Microsoft Excel.
• Strong analytical skills, attention to detail, and ability to manage multiple priorities.
• Excellent communication skills and ability to collaborate with cross‑functional teams.
• Ability to maintain confidentiality and handle sensitive financial information.