Senior Accountant

Knights Care; City of Utica (NY); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Health, dental, and vision benefits

Paid time off and holidays

Mileage reimbursement

Job summary

Knights Care in Utica, NY is seeking a skilled Senior Accountant to enhance the financial operations of healthcare facilities across Upstate New York. The role entails frequent travel, financial reporting, compliance support, and collaboration with executives.

Applicants must possess a Bachelor's Degree in Accounting and at least 5 years of experience, preferably in the healthcare sector. The position comes with competitive salary and benefits including health, dental, and vision coverage.

Qualifications

• Minimum 5 years of progressive accounting experience.
• Healthcare accounting experience preferred.
• Strong knowledge of GAAP.

Responsibilities

• Prepare monthly financial statements.
• Perform monthly account reconciliations.
• Maintain general ledger integrity and ensure timely closings.
• Analyze operating results and prepare budget-to-actual reports.
• Assist facility administrators with financial performance reviews.

Skills

Advanced Microsoft Excel skills

Excellent analytical and problem-solving abilities

Strong organizational and time management skills

Exceptional communication and interpersonal skills

Education

Bachelor’s Degree in Accounting, Finance, or related field

CPA or CPA candidate

Tools

Yardi

MatrixCare

PCC

Job description

Knights Care LLC – Upstate New York Region

Knights Care LLC is seeking an experienced and highly motivated Senior Accountant to support the financial operations of multiple healthcare facilities throughout Upstate New York. The Senior Accountant will play a key role in ensuring accurate financial reporting, maintaining compliance with healthcare regulations, supporting audits, overseeing accounting staff, and assisting facility leadership with financial analysis and decision‑making.

This position requires frequent travel to healthcare facilities and close collaboration with Administrators and Executive Leadership.

Reports To

Location

Utica, NY

Employment Type

Full-Time

Key Responsibilities

• Prepare monthly financial statements, including Balance Sheets, Income Statements, and Cash Flow Statements.
• Perform monthly account reconciliations and investigate variances.
• Maintain general ledger integrity and ensure timely month‑end and year‑end closings.
• Analyze operating results and prepare budget‑to‑actual variance reports.
• Assist facility administrators with financial performance reviews and action plans.
• Support Skilled Nursing Facilities (SNF), Assisted Living Facilities (ALF), Independent Living Communities, and related healthcare operations.
• Review census reports, Medicare and Medicaid reimbursement activity, and revenue recognition processes.
• Assist with Medicare and Medicaid cost reports and supporting documentation.
• Monitor accounts receivable, collections, and cash flow.
• Analyze labor costs, agency staffing expenses, and departmental productivity metrics.

Compliance & Audit Support

• Ensure compliance with GAAP and healthcare industry accounting standards.
• Assist with annual audits, Medicare audits, OMIG audits, and regulatory reviews.
• Prepare audit schedules, workpapers, and supporting documentation.
• Assist with implementation and monitoring of internal controls.

Budgeting & Forecasting

• Assist in the preparation of annual operating budgets.
• Develop monthly financial forecasts and cash flow projections.
• Identify opportunities for cost savings and operational efficiencies.
• Support financial turnaround initiatives and special projects.

Accounts Payable & Receivable Oversight

• Review and approve invoices, payment requests, and journal entries.
• Monitor vendor relationships and outstanding liabilities.
• Assist with collection efforts and accounts receivable aging reviews.

Leadership & Support

• Provide guidance and mentorship to accounting staff.
• Assist in training facility business office personnel on financial procedures and best practices.
• Work collaboratively with facility administrators and department heads.
• Participate in on‑site financial reviews and operational assessments.

Systems & Process Improvement

• Utilize accounting software including Yardi, MatrixCare, PCC, and other healthcare management systems.
• Recommend and implement process improvements to increase efficiency and strengthen internal controls.
• Assist with system implementations, upgrades, and financial reporting enhancements.

Qualifications

Education

• Bachelor’s Degree in Accounting, Finance, or related field required.
• CPA or CPA candidate preferred.

Experience

• Minimum 5 years of progressive accounting experience.
• Healthcare accounting experience preferred.
• Experience with Skilled Nursing Facilities, Assisted Living Facilities, Home Health, Hospice, or Continuing Care Retirement Communities highly desirable.
• Experience preparing financial statements and supporting external audits.
• Strong knowledge of GAAP.
• Understanding of healthcare reimbursement systems, including Medicare and Medicaid.
• Advanced Microsoft Excel skills.
• Excellent analytical and problem‑solving abilities.
• Strong organizational and time management skills.
• Ability to manage multiple facilities and priorities simultaneously.
• Exceptional communication and interpersonal skills.
• Ability to travel regularly throughout Upstate New York.

Preferred Qualifications

• Experience with Medicare Cost Reports and Medicaid reimbursement.
• Experience with Yardi, MatrixCare, and PCC.
• Competitive salary based on experience.
• Health, dental, and vision benefits.
• Paid time off and holidays.
• Mileage reimbursement and travel‑related expenses.

About Knights Care LLC

Knights Care LLC provides financial, operational, and management services to healthcare organizations throughout New York State. Our team specializes in healthcare facility turnarounds, financial stabilization, regulatory compliance, and operational excellence while maintaining a commitment to compassionate care and organizational sustainability.