Accountant I

nc; North Carolina; Hybrid; USD 50,000 - 88,000; Full time

Job summary

The North Carolina Department of Health and Human Services (NCDHHS) is seeking a results-driven Accountant I (S) to supervise the Cash Management/Reporting Unit within the Accounts Receivable section. You will ensure timely deposits, reporting, and data integrity, guiding staff and coordinating with other teams.

Based in Raleigh with hybrid onsite work options, the role requires strong Excel skills, experience with hospital AR processes, and ability to develop performance plans and metrics for

Qualifications

• Experience with hospital AR and cash management.
• Advanced Excel skills.
• Ability to analyze financial statements.
• Ability to develop work plans and conduct performance reviews.

Responsibilities

• Supervise Cash Management/Reporting Unit handling daily deposits and logs.
• Prepare monthly, quarterly, and annual financial reports (Medicare/Medicaid as applicable).
• Reconcile cash transactions between sub-ledgers, Epic, and NCFS.
• Assist in compiling Third-Party remittance data and reports.
• Provide guidance, set priorities, and deliver training and performance metrics.

Skills

Excel

Hospital AR

Cash management

Performance reviews

Tools

Epic

Job description

Agency

Dept of Health and Human Services

Division

SEC OFFICE - CONTROLLER

Job Classification Title

Accountant I (S)

Position Number

60037503

Grade

NC13

About Us

The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence.

Description of Work

This position functions as the Cash Management/Reporting Supervisor in the Accounts Receivable Section of the DHHS Office of the Controller. Position is responsible for the supervision of the Cash Management/Reporting Unit which includes three accounting paraprofessional positions that compile and analyze Third Party remittance and statistical data, obtain and distribute daily mail, and support the Reporting Supervisor with various projects. The Cash management/Reporting Unit is responsible for timely completion of the daily deposit and the daily receipt log. This position provides support and guidance; establish priorities and deadlines; develops performance metrics and management plans, provide written documentation to support findings; design and deliver training. This position requires technical, analytical, and evaluative experience. This position is responsible for the preparation of monthly, quarterly, and annual reports in the form of statistical graphs and schedules. This position submits financial reports that are utilized in preparation of the annual cost reports and management receipt projections. This positions prepares Quarterly Medicaid and Medicare Credit Balance Reports and the annual Medicare Bad Debt Report. This position collects Commercial, Medicare Part A, Medicare Part D, NC Tracks and Medicaid Managed Care Organizations (MCO) receipts information and maintain a cumulative Third-Party Log; analyze all Commercial, Medicare (A & D), NC Tracks and MCO remittance reports calculating and reporting service level paid, correct NCFS account numbers, total billed charges, liabilities, contractual, non-covered amounts, financial adjustments, paid days, and discharges; sort data by appropriate fiscal year. This position reconciles monthly posted cash transactions on sub-ledgers and Epic to the North Carolina Financial System (NCFS) and researches possible discrepancies. Position uploads files to the Direct Deposit System (DDS) which includes entitlement payments and resolves discrepancies for timely posting to accounts.

Knowledge Skills and Abilities/Management Preferences

Salary Grade Range: $50,088.00 - $87,654.00

Recruitment Range: $53,989.00 - $73,202.00

Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement.

The Knowledge, Skills, and Abilities (KSAs)/ Management Preferences are not required. Applicants who possess the following skills are preferred:

• Working knowledge and experience with inpatient and outpatient hospital Accounts Receivable Cash Management and Billing systems (Epic preferred).
• Ability to compile, monitor, examine, and audit moderately complex financial statements/reports/accounts or budget codes for accuracy, integrity, and conformance to accounting and program guidelines.
• Advanced skill level working with Excel spreadsheets.
• Ability to recommend and/or make employment application selection decisions, and ability to develop and implement work plans and establish performance standards and conduct performance reviews.

The Posting Will Close At 11:59 P.M. The Night Before The End Date

This Position Is Funded In Part Through Federal Funds

This Role Is Eligible To Be Hybrid And Requires Onsite Reporting Located Within Raleigh, NC

About the Office of the Secretary

The Office of the Secretary serves as the executive leadership arm of the North Carolina Department of Health and Human Services (NCDHHS), guiding the Department's mission to improve the health, safety, and well-being of all North Carolinians. Through strategic oversight and collaborative leadership, the Secretary's Office supports the effective coordination of over a dozen core divisions, ensuring that agency-wide priorities are aligned, resources are used responsibly, and services are delivered with equity and impact.

About DHHS Office of the Controller

The Office of the Controller sets and interprets all accounting and financial reporting policies and procedures for the Department as authorized by the rules and regulations of the Office of the State Controller and state statutes and executes all accounting transactions for DHHS.

Compensation and Benefits

The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, stand