Accountant Associate - Hybrid

Usmdarlington; Arlington (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

USMD Arlington is seeking a Staff Accountant to support the hospital’s financial health and integrity. You will manage general ledger, month-end close, and financial reporting while ensuring GAAP compliance and HIPAA requirements.

Key duties include journal entries, reconciliations, fixed assets, and assisting with audits, Medicare/Medicaid data, and tax reporting. Healthcare accounting experience is highly valued.

Qualifications

• Bachelor’s degree in accounting, finance or equivalent combination of education and experience required.
• Minimum of 2-4 years of progressive accounting experience in financial systems and budgeting, financial reporting, data analysis and auditing.
• Knowledge of GAAP and auditing principles; healthcare accounting experience preferred.
• HIPAA compliance and strong internal controls awareness.

Responsibilities

• Prepare and record standard and complex journal entries for month-end, quarter-end, and year-end close.
• Perform monthly reconciliations for bank accounts, prepaid expenses, accruals and balance sheet accounts.
• Maintain the fixed asset subledger, capitalizing equipment and recording disposals.
• Assist with financial statements, tax reports, audits, and regulatory compliance.

Skills

Excel proficiency

GAAP knowledge

Analytical skills

Communication skills

Attention to detail

HIPAA awareness

Education

Bachelor's degree in accounting, finance or equivalent

Tools

Lawson

Workday

Oracle

Meditech

Epic

Meditech Magic

Job description

Job Purpose

The Staff Accountant will assist in maintaining the financial health and integrity of the hospital. This position is responsible for general ledger management, month-end close procedures, financial reporting and ensuring compliance with both GAAP and hospital policies.

Education & Qualifications

Bachelor’s degree in accounting, finance or equivalent combination of education and experience required.

Required Licenses/Certifications

None.

Work Experience

Minimum of 2-4 years of progressive accounting experience in the management of financial systems and budgets, financial reporting, financial data analysis, and auditing. Prior experience in healthcare, hospital or clinical accounting is highly preferred. Knowledge of generally accepted accounting principles and auditing principles.

Physical Demands & Working Conditions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is regularly required to use hands to finger, grasp, handle, or feel and to reach with hands and arms. The employee is frequently required to sit, stand, walk, see, speak, and hear. The employee is occasionally required to kneel, climb, or balance. The employee is regularly required to lift up to 10 pounds and rarely lift more than 25 pounds.

Special Requirements

• Advanced proficiency in Microsoft Excel (e.g., PivotTables, VLOOKUPs, index/match, and complex formulas).
• Experience with large-scale Enterprise Resource Planning (ERP) and healthcare financial systems (e.g., Lawson, Workday, Oracle, Meditech, or Epic).
• Experience with Meditech Magic, Client Server or Expanse preferred.
• Solid understanding of GAAP and internal control frameworks.
• Strong analytical and problem-solving abilities with high attention to detail.
• Excellent written and verbal communication skills to explain financial concepts to non-financial clinical staff.
• Ability to thrive in a fast-paced environment and manage multiple priorities during close periods.
• Strong organizational skills.
• Ability to work independently while collaborating effectively with cross-function teams.
• High level of accuracy, attention to detail, and professional judgment.
• Ability to comply with attendance requirements and comply with Human Resource policies.

Essential Duties and Responsibilities

• Prepare and record standard and complex journal entries for month-end, quarter-end, and year-end close within established deadlines.
• Prepare recurring and accrual journal entries, prepaids and estimated expense accruals.
• Complete monthly reconciliations for bank accounts, prepaid expenses, accruals, inventories and all other balance sheet accounts.
• Maintain the fixed asset subledger, including capitalizing newly acquired medical equipment, tracking depreciation, and recording asset disposals and retirements.
• Review and preparation of reports for Sales and Use tax reporting.
• Assist with monthly financial statements, including balance sheets, income statements, and cash flow statements.
• Conduct variance analysis to compare actual departmental expenses against the approved hospital budget.
• Assist in the compilation of data required for annual Medicare and Medicaid cost reports, income tax preparation, and property tax rendition.
• Prepare detailed schedules, workpapers, and documentation for internal and external annual financial audits.
• Ensure all accounting procedures comply with Generally Accepted Accounting Principles (GAAP) and relevant healthcare financial regulations.
• Strictly adhere to HIPAA regulations regarding the confidentiality and security of any patient-identifiable financial information.