Senior Accountant

Vitalcaring-Group; Dallas (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

VitalCaring is seeking a Senior Accountant – Acquisitions to support Home Health and Hospice post-acquisition accounting, including journal entries, reconciliations, and integration tasks. You will partner with Finance, RCM, Operations, and external consultants to ensure accurate financial reporting and regulatory compliance, while building internal controls and cost reporting capabilities.

The role emphasizes collaboration, attention to detail, and ethical practices aligned with VitalCaring’s

Qualifications

• Bachelor's degree in Accounting, Finance, Business Administration or related field required.
• CPA or progress toward CPA preferred.

Responsibilities

• Prepare journal entries, reconciliations, and financial schedules for newly acquired entities.
• Assist with purchase price allocation, opening balance sheet setup, and integration of financial data.
• Support the collection, organization, and maintenance of acquisition-related documentation.
• Coordinate with internal teams and seller accounting contacts to gather financial information and resolve discrepancies.
• Assist with transition support items such as cash, working capital, AR validation, and TSA-related tracking.
• Prepare hospice revenue and expense entries and assist with reconciliation of hospice billing and reimbursement items.
• Monitor hospice cap activity, prepare supporting documentation, and assist leadership with cap analyses.
• Partner with RCM and Accounts Payable to ensure accurate recording of room & board and other hospice-related transactions.
• Maintain awareness of regulatory changes that may affect hospice accounting processes.
• Depending on the frequency and volume acquisition activity, opportunity to participate in home health, community care, palliative care, and private duty accounting may be required.
• Assist with the preparation of Medicare cost reports for Home Health and Hospice.
• Work with external consultants and internal teams to compile required financial, statistical, and operational data.
• Prepare supporting schedules and documentation to ensure timely and accurate filings.
• Contribute to analysis of cost report outcomes, trends, and reimbursement considerations.
• Provide support in meeting other regulatory reporting requirements as the need arises.
• Maintain documentation required for internal controls and compliance programs.
• Support internal and external audit requests, including testing documentation and financial support schedules.
• Participate in process improvement initiatives to strengthen controls and increase efficiency within the accounting function.

Skills

Analytical skills

Problem-solving

Time management

Education

Bachelor's degree in Accounting, Finance, Business Administration or related field

CPA or progress toward CPA

Tools

Excel

ERP systems

Job description

At VitalCaring, our team members transform lives and foster hope through genuine caring. The Senior

Accountant supports VitalCaring’s Home Health and Hospice acquisition accounting activities by

performing advanced accounting tasks, preparing financial analyses, assisting with integration activities, and

ensuring accurate and compliant financial reporting. This role contributes directly to post-acquisition financial

setup, line of business accounting processes, cost report support, and establishment of internal controls.

Performance of these duties will be in concert with our values: trustworthy, capable, compassionate, proactive,

and called. Every encounter is an opportunity to make a meaningful difference, and we are committed to bringing

a culture of caring to every encounter.

Essential Job Functions/Responsibilities

Acquisition Accounting Support

• Prepare journal entries, reconciliations, and financial schedules for newly acquired entities.
• Assist with purchase price allocation, opening balance sheet setup, and integration of financial data.
• Support the collection, organization, and maintenance of acquisition-related documentation.
• Coordinate with internal teams and seller accounting contacts to gather financial information and resolve discrepancies.
• Assist with transition support items such as cash, working capital, AR validation, and TSA-related tracking.

Line of Business Accounting: Hospice Accounting

• Prepare hospice revenue and expense entries and assist with reconciliation of hospice billing and reimbursement items.
• Monitor hospice cap activity, prepare supporting documentation, and assist leadership with cap analyses.
• Partner with RCM and Accounts Payable to ensure accurate recording of room & board and other hospicerelated transactions.
• Maintain awareness of regulatory changes that may affect hospice accounting processes.

Line of Business Accounting: Other

• Depending on the frequency and volume acquisition activity, opportunity to participate in home health, community care, palliative care, and private duty accounting may be required.

Medicare Cost Reporting, State & Local Regulatory

• Assist with the preparation of Medicare cost reports for Home Health and Hospice.
• Work with external consultants and internal teams to compile required financial, statistical, and operational data.
• Prepare supporting schedules and documentation to ensure timely and accurate filings.
• Contribute to analysis of cost report outcomes, trends, and reimbursement considerations.
• Provide support in meeting other regulatory reporting requirements as the need arises.

Compliance, Internal Controls & Audit Support

• Maintain documentation required for internal controls and compliance programs.
• Support internal and external audit requests, including testing documentation and financial support schedules.
• Participate in process improvement initiatives to strengthen controls and increase efficiency within the accounting function.

Sr. Accountant Acquisitions – Home Office Revised: 11/13/2025

Cross-Functional Collaboration

• Partner with Finance, RCM, Operations, Sales, and other internal teams to provide accurate financial information.
• Communicate findings and updates in a professional and service-oriented manner.
• Assist in budgeting, forecasting, and other analytical activities as needed.

Communication

• Interacts with team members in a positive and professional manner.
• Maintains contact/communication with other agency personnel.
• Communicates clearly and professionally with internal and external stakeholders.

Additional Duties

• Participates in agency-sponsored in-service training.
• Participates in personal and professional growth and development.
• Perform other duties as assigned.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Position Qualifications

• 1) Bachelor's degree in Accounting, Finance, Business Administration or related field required. CPA or progress toward CPA preferred.
• 2) Minimum 3+ years’ accounting experience. Healthcare or home health/hospice experience preferred.
• 3) Experience with acquisition, integrations, or multi-entity accounting a plus.
• 4) Strong understanding of GAAP and healthcare-related accounting concepts.
• 5) Advanced proficiency with Excel and familiarity with accounting/ERP systems.
• 6) Ability to manage multiple priorities and meet deadlines with accuracy.
• 7) Strong analytical, problem-solving, and organizational skills.
• 8) Ability to work with discretion, maintain confidentiality, and exercise sound judgment.
• 9) Commitment to ethical business practices and alignment with VitalCaring’s mission and values