Accountant I (071526.4) FULL TIME

Bitterroot Health; Hamilton (MT); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Full benefits package

Job summary

Bitterroot Health, located in Hamilton, Montana, invites you to join our Fiscal Services team as Accountant I. You will provide timely financial reporting for hospital, clinic and departmental needs, recording and verifying transactions with a focus on data integrity.

Under supervision, you will support monthly Responsibility Reports, monitor fixed assets, and help prepare the annual budget, Medicare cost reports, and regulatory filings.

Qualifications

• Bachelor's Degree or minimum of two years of progressive general accounting experience including financial statement preparation.
• Licensures, Certifications, Registrations: None Required
• Account analysis and reconciliation; interpersonal and communication skills; organizational/time management; ability to work independently; teamwork.

Responsibilities

• Prepare hospital, clinic and departmental financial statements under supervision.
• Record, verify and enter transactions to ensure information integrity.
• Develop and maintain Excel spreadsheets for accounting and financial projects.
• Assist with monthly Responsibility Reports and provide Controller support for the annual budget.
• Support Medicare cost report, 990 tax return and other regulatory reporting requirements.
• Provide audit support for internal and external requests.
• Analyze financial data and trends; summarize information for management.
• Other duties as assigned.

Skills

Account analysis

Reconciliation

Interpersonal skills

Communication skills

Organizational skills

Time management

Independence

Teamwork

Education

Bachelor's Degree or 2 years of progressive accounting experience

Tools

Excel

Job description

Job Description

Posted Wednesday, July 15, 2026 at 8:00 AM

Are you ready to work where breathtaking mountain views meet exceptional care?

At Bitterroot Health, we combine the beauty of Montana's Bitterroot Valley with our commitment to high-quality, personalized healthcare.

As the largest employer in Ravalli County, Bitterroot Health is deeply woven into the fabric of the Bitterroot Valley, offering accessible care and building lasting relationships with our neighbors.

Located in Montana's scenic Bitterroot Valley between the Bitterroot and Sapphire Mountains, we offer rewarding careers paired with an exceptional outdoor lifestyle. Enjoy top-rated schools, a safe, family-friendly community, and year-round recreation including hiking, fishing, skiing, biking, and access to nearby rivers, trails, and lakes in one of Montana's most stunning regions.

Our Employee Connections & Wellness Team is dedicated to supporting our staff by providing resources and activities that promote occupational, physical, emotional, social, and inclusionary well-being. We believe that your happiness is key to success, which is why we also host regular employee gatherings to foster community and connection.

Grow with us! From tailored pathway training in nursing, laboratory, and surgical departments to scholarships and tuition reimbursement, we are invested in your success.

Join a team recognized for excellence! Named a 2025 top 20 in the nation Critical Access Hospital by the National Rural Health Association. Voted 'Bitterroot's Best Employer' in 2022 and 2023, we were also honored as the #1 Employer of Choice for large companies in Montana in 2023.

Accountantopportunity in beautiful Hamilton, Montana!!

Bitterroot Health is seeking candidates to fill an Accountant I position in our Fiscal Services department. The Accountant I provides accounting services that ensure timely and meaningful financial reporting. Focus on accounting information integrity by recording, verifying and entering transactions.

Under general supervision, assists in preparation of hospital, clinic and departmental financial statements; maintains records and follow-up documentation. Provides support to department directors regarding monthly Responsibility Reports. Monitors, maintains, and reports activity related to facility fixed assets. Develops and maintains Excel spreadsheets for various accounting and financial projects. Provides Controller support with preparing the annual budget; Medicare cost report, 990 tax return, and other regulatory reporting requirements. Provides audit support for internal and external audit requests. Analyzes and monitors financial data, trends, and indicators. Accumulates facts and information in specific accounting areas and summarizes in proper form. Analyzes and reconciles financial data for discrepancies and/or errors. Other duties as assigned.

Minimum Qualifications:

• Education/Experience: Bachelor's Degree or minimum of two years of progressive general accounting experience including financial statement preparation.
• Licensures, Certifications, Registrations: None Required
• Job Knowledge/Skills/Abilities: Account analysis and reconciliation; excellent interpersonal and communication skills; strong organizational /time management skills; flexibility to adapt to a variety of work assignments; the ability to manage stressful situations, and work independently; support participation in team oriented projects.

Schedule: Full-time, 40 hours/week

Benefits: This position is eligible for the full benefit package.

* Remote-work eligible if qualifications met: The successful candidate must demonstrate the ability to work independently, communicate effectively across virtual teams, manage competing priorities, maintain confidentiality, use required technology reliably, and meet organization teleworking policy. Experience in a Critical Access Hospital environment and relevant professional certification are preferred but not required unless otherwise specified for the position.