Accountant

CEDAR VALLEY HOSPICE INC; Waterloo (IA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Generous paid time off

Comprehensive benefits package

401(k)

Public Service Loan Forgiveness (PSLF)

Job summary

Cedar Valley Hospice in Waterloo, IA, seeks an Accountant to join our Finance Team. You will manage the general ledger, month-end close, payroll processing, and financial reporting to ensure accuracy and compliance for a nonprofit healthcare provider.

Collaborating across departments, you’ll support grant accounting and audits, help optimize processes, and maintain regulatory adherence. This role offers a stable, community-focused environment with strong benefits.

Qualifications

• Associate’s degree in Accounting or Finance required or related field.
• Minimum of two years of accounting experience preferred.
• Experience with general ledger accounting, payroll, reconciliations, and financial reporting preferred.
• Healthcare/nonprofit/hospice or grant accounting experience preferred.
• Experience with accounting and payroll systems preferred.
• Strong proficiency in Microsoft Office applications, including Microsoft Excel.

Responsibilities

• Maintains the general ledger and ensures accurate financial records.
• Prepares month-end and other journal entries, including payroll, accruals, prepaids, investments, and other entries.
• Performs bank reconciliations and reviews bank activity for accuracy.
• Prepares financial reports, variance analyses, and other analytical reports.
• Processes payroll through Paycom and maintains payroll records.
• Maintains grant accounting records and prepares required expenditure and financial reports.
• Supports annual independent audits by preparing documentation and schedules.
• Collaborates with Finance Team and other departments to ensure accurate and timely financial information.

Skills

General ledger

Payroll processing

Financial reporting

Microsoft Excel

Reconciliations

Analytical skills

Education

Associate degree in Accounting or Finance

Bachelor’s degree preferred

Tools

Paycom

Accounting software

Job description

Job Details

Job Location: Waterloo, IA 50701

Join Cedar Valley Hospice, a trusted not-for-profit organization with multiple local and national awards for high-quality, exceptional end-of-life care, including the area’s only 5-star hospice for patient care (awarded by Medicare.gov).

As an Accountant, you’ll work collaboratively with Finance Team members and other departments to ensure accurate financial reporting, timely completion of financial activities, and compliance with applicable requirements. You’ll be responsible for general accounting, payroll, billing, financial reporting, reconciliations, grant accounting, and financial analysis for Cedar Valley Hospice.

Why Cedar Valley Hospice?

Cedar Valley Hospice’s “One Team, One Mission” mentality means we support each other and that every Cedar Valley Hospice employee plays a vital role in our organization’s story. We are the premier hospice provider serving 15 counties with offices in Waterloo, Grundy Center, Independence and Waverly, and are committed to helping patients live fully and comfortably wherever they call home.

When you join our team, you'll enjoy:

• A supportive, team-focused culture
• A family-friendly work environment
• Generous paid time off
• Comprehensive benefits package and 401(k)
• Public Service Loan Forgiveness (PSLF) benefits

Schedule

Full-Time (1.0 FTE)

Monday – Friday | 8:00 a.m. – 4:30 p.m.

What You'll Do

Accounting & Financial Reporting

• Maintains the general ledger and ensures accurate financial records.
• Prepares and posts month-end and other journal entries, including payroll, accruals, prepaids, investments, and other assigned entries.
• Performs bank reconciliations and reviews bank activity for accuracy and unusual transactions.
• Prepares financial reports, variance analysis, and other analytical reports as requested.

Payroll

• Processes and monitors payroll through Paycom and maintains payroll records.
• Imports mileage data for payroll.
• Prepares payroll journal entries and maintains accrued vacation records.
• Reconciles benefit invoices to payroll information.
• Prepares required payroll, wage, tax, and year-end reports, including W-2s and 941s.
• Provides employee education and support related to Paycom and payroll processes.

Billing & Grant Accounting

• Processes Medicare physician billing and Part B billing.
• Maintains grant accounting records and prepares required expenditure and financial reports.
• Responds to granting agency requests and supports grant audits.

Audit, Compliance & Process Improvement

• Supports annual independent audits by preparing documentation, schedules, and requested information.
• Maintains compliance with applicable accounting, payroll, tax, grant, and organizational requirements.

Collaboration & Team Participation

• Collaborates with Finance Team members and other departments to ensure accurate and timely financial information.
• Provides backup support for other Finance Team functions as assigned.

Qualifications

• Associate’s degree in Accounting, Finance or related field required. Bachelor’s degree preferred. Relevant education and/or professional experience may be considered in lieu of the stated degree requirement.
• Minimum of two years of recent accounting experience preferred.
• Experience with general ledger accounting, payroll, reconciliations, and financial reporting preferred.
• Healthcare, nonprofit, hospice, or grant accounting experience preferred.
• Experience with accounting and payroll systems preferred.
• Strong proficiency in Microsoft Office applications, including Microsoft Excel.

Physical Requirements

• Ability to move up to 25 pounds with or without reasonable accommodation
• Ability to alternate between sitting, standing, and moving throughout the workday
• Must be able to travel to Cedar Valley Hospice locations as needed
• Pre‑employment/post-offer physical, TB, and drug screen required

Equal Opportunity Employer Statement

Cedar Valley Hospice is an equal opportunity employer. Cedar Valley Hospice prohibits discrimination and harassment of any type and affords equal employment opportunities to employees and qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, genetic information, status as a protected veteran, political affiliation or any other characteristic protected by law.