Senior U.S GAAP Accountant

Nao Medical; New York (NY); Hybrid; USD 10,000 - 15,000; Full time

Benefits offered by this job

Fully remote work

Job summary

Nao Medical is seeking a senior accountant to manage day-to-day accounting across multiple US healthcare entities, ensuring GAAP-compliant books and accurate monthly closes. You will oversee intercompany eliminations, consolidations, and ASC 842 lease schedules, partnering with the CFO and tax advisors.

The role emphasizes audit readiness, revenue and payroll accounting, and rigorous financial reporting for a growing network of clinics.

Qualifications

• Bachelor’s degree in Accounting, Finance, or a related field required.
• 3–6+ years of hands-on U.S. accounting experience under U.S. GAAP.
• Proven experience managing full-cycle monthly closes and reconciliations.
• Advanced proficiency in QuickBooks Online (QBO) and Excel.
• Experience preparing audit support workpapers and depreciation schedules.
• Familiarity with U.S. payroll accounting and employer taxes.

Responsibilities

• Maintain accrual-basis books in QuickBooks Online per U.S. GAAP.
• Record and review daily transactions; reconcile banks, AP, payroll liabilities and other accounts.
• Own the monthly close, deliver first cut by the 10th and final by the 15th.
• Prepare P&L, balance sheets, cash flows, and supporting schedules.
• Reconcile intercompany transactions and prepare consolidated reports.

Skills

U.S. GAAP knowledge

Multi-entity accounting

Intercompany eliminations

Financial reporting

Analytical skills

Communication with leadership

Education

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

Professional certification (CPA/CA/ACCA/CMA) preferred

Tools

QuickBooks Online

Excel (advanced)

Job description

Salary Range: $10,000 - $15,000 per year

About the Company

Nao Medical is a modern healthcare provider serving communities across New York with primary care, urgent care, occupational health, and wellness services. We combine tech-forward solutions with compassionate, accessible care for our patients and streamlined corporate health services for our B2B partners.

Position Overview

Nao Medical is seeking an experienced, hands-on Senior Accountant to manage day-to-day accounting, complex reconciliations, monthly close, and financial reporting across multiple U. S. healthcare entities. Operating as the operational and analytical backbone of our multi-entity finance operations (encompassing approximately 12–13 clinic locations), this is not a data-entry-only role; it requires deep mastery of U. S. GAAP, QuickBooks Online (QBO), group consolidations, intercompany eliminations, and accrual-to-cash tax conversion workpapers.

Reporting directly to the CFO and U. S. finance leadership, you will independently maintain accurate books, investigate unusual or unsupported balances, ensure audit-ready workpapers, and bridge clinical revenue cycles with rigorous corporate accounting standards.

Why Join Nao Medical

Direct Impact: Play a pivotal role in maintaining financial integrity, audit readiness, and cash-flow visibility for our rapidly growing network of multi-specialty healthcare clinics.

Multi-Entity Ownership: Own end-to-end accounting processes, from day-to-day transaction coding to complex intercompany eliminations, ASC 842 lease schedules, and consolidated financial statements.

Executive Collaboration: Work directly with our CFO, external U. S. tax accountants, and auditors, gaining high-visibility experience in healthcare finance and U. S. GAAP standards.

Supportive Environment: Receive direct collaboration and mentorship within an innovative, tech-driven healthcare organization that values ownership and analytical problem-solving.

Primary Responsibilities

General Ledger & Daily Accounting Operations

Maintain accrual-basis books in QuickBooks Online in accordance with U.S. GAAP.

Record and review daily transactions, including bank activity, vendor invoices, payments, credit cards, and journal entries.

Reconcile bank accounts, credit cards, accounts payable, payroll liabilities, and other balance-sheet accounts while investigating and resolving discrepancies.

Monthly Close, Audit Support & Banking Controls

Own the monthly close process, delivering a first cut by the 10th and final financials by the 15th.

Prepare profit and loss statements, balance sheets, cash-flow statements, and reconciled supporting schedules.

Prepare financial and cost reports by location and department, including direct expenses and overhead allocations.

Reconcile intercompany transactions and balances, supporting individual-company and combined financial reporting (including elimination entries where appropriate).

Healthcare Revenue, AR & Payroll Accounting

Review healthcare billing reports and reconcile revenue, copays, insurance receipts, and related clearing accounts (note: this role does not process patient collections).

Analyze payroll data processed via UKG, reconcile payroll to the general ledger, and allocate employee costs, benefits, and 401(k) contributions by location and department.

Maintain lease-accounting, fixed-asset, depreciation, and other supporting schedules.

Compliance, Tax & Audit Readiness

Complete monthly reconciliations for all bank and credit card accounts.

Maintain documented supporting balance sheet schedules for AR/AP, prepaids, accrued expenses, fixed assets, depreciation, loans, and lease/right-of-use (ROU) assets under ASC 842.

Job Requirements

Education & Qualifications:

Bachelor’s degree in Accounting, Finance, or a related field required. Professional certification (CA, CA Inter, CPA, ACCA, CMA, or equivalent) preferred.

3–6+ years of hands-on U. S. accounting experience, with demonstrated expertise maintaining accrual-basis books under U. S. GAAP.

Proven experience managing full-cycle monthly closes, balance sheet reconciliations, multi-entity accounting, and intercompany eliminations.

Advanced proficiency in QuickBooks Online (QBO) and Microsoft Excel (advanced formula modeling, PivotTables, SUMIFS, XLOOKUP).

Direct experience preparing audit support workpapers, fixed asset/depreciation schedules, and accrual-to-cash tax conversion workpapers.

Demonstrated familiarity with U. S. payroll journal entries, employer tax liabilities, and benefits accounting.

Excellent written and verbal English communication skills with the confidence to collaborate directly with U. S. finance leadership, auditors, and external tax advisors.

Preferred: Prior experience in multi-location U. S. healthcare or clinical services, CBO medical revenue reconciliations, and familiarity with UKG, Bill. com, or eClinicalWorks.

Schedule Requirements:

Ability to work Eastern Time (ET) hours, 8: 00 AM to 5: 00 PM, Monday through Friday, including applicable company holidays.

Technical Requirements:

Reliable wired internet connection (100 Mbps minimum).

Computer/laptop with Intel Core i5 or Ryzen 5 processor, 8GB RAM minimum, and 128GB free storage.

Dual-screen setup preferred for enhanced productivity.

Operating system: Windows 10 or macOS (latest version).

Clear webcam (1080p or higher resolution) and microphone for communication.

Secure, private workspace compliant with healthcare remote-work security requirements, prohibiting local downloads, printing, or screen capture of patient/client financial data.

Backup systems for electricity and internet outages.

Fully Remote Work: Work from the comfort of your home in a dedicated, secure environment.

Comprehensive Onboarding: Structured 1-on-1 training and mentorship in healthcare financial practices and operational systems.

Professional Development: Direct exposure to multi-entity U. S. GAAP accounting, executive reporting and career growth opportunities.

At Nao Medical, we're revolutionizing healthcare by blending cutting-edge technology with heartfelt, personalized care. Over the past 13 years, we've proudly served more than a million New Yorkers at our various locations.

Our mission is simp le: provide accessible, quality care tailored to each patient's needs through our multi-specialty practice. We're breaking down barriers, championing health equity, and delivering value-based care to create healthier communities.

Experience the Nao Medical difference. Join us in transforming healthcare, Nao!