Senior Accountant

The Bolton Group; Schaumburg (IL); On-site; USD 85,000 - 115,000; Full time

Job summary

The Bolton Group in Schaumburg, IL is seeking a Senior Accountant to support growth and its care delivery model. This role blends core accounting with acquisition integration, operational support, and process improvements across multiple entities.

You will partner with clinics and pharmacy operations, manage month-end close and GAAP reporting, and contribute to budgeting and forecasting in a dynamic healthcare environment.

Qualifications

• Bachelor's degree in Accounting or related field (required).
• 5–10 years of progressive accounting experience, with advanced Excel skills.
• Healthcare industry experience preferred; multi-site and M&A integration experience highly desirable.
• Strong analytical, organizational, and communication skills; able to work independently and handle complex projects.

Responsibilities

• General Accounting & Reporting – GL, journal entries, reconciliations, month-end close; GAAP-compliant statements; fixed assets & audits.
• Acquisition & Integration – consolidate entities post-acquisition; onboarding into financial systems; reconcile opening balances.
• Revenue Cycle Collaboration – partner with revenue cycle teams on patient revenues and pharmacy sales; analyze payer mix and collections.
• Compliance & Internal Controls – ensure healthcare financial regulatory compliance and maintain internal controls.
• Operational & Strategic Support – provide financial insight for budgeting, forecasting, variance analysis, and process improvements.

Skills

Advanced Excel

M&A integration experience

Healthcare industry experience

Analytical skills

Communication skills

Education

Bachelor's degree in Accounting or related field

Job description

A growing, innovative healthcare organization is seeking a Senior Accountant to play a key role in supporting its expansion and mission-driven care delivery model. This is an opportunity to join a dynamic finance team in a role that blends core accounting responsibilities with acquisition integration, operational support, and process improvement initiatives.

Why This Role Stands Out

• Mission-driven organization improving patient outcomes in a specialized healthcare segment
• Opportunity to work on M&A integrations and multi-entity consolidations
• Collaborative, values-based culture with leadership committed to innovation and growth
• Exposure to both corporate and operational finance functions, supporting clinics and pharmacy operations

Key Responsibilities

• General Accounting & Reporting – Perform general ledger accounting, journal entries, reconciliations, and month-end close. Prepare and analyze GAAP-compliant financial statements, maintain fixed asset ledgers and depreciation schedules, and support external audits.
• Acquisition & Integration – Assist with consolidating multiple entities post-acquisition, onboarding new entities into financial systems, aligning accounting practices, and reconciling opening balances.
• Revenue Cycle Collaboration – Partner with revenue cycle teams to ensure accurate recording of patient service revenues and pharmacy sales. Analyze payer mix, aging, and collections to support accruals and revenue recognition. Track denials, write-offs, and cash collections.
• Compliance & Internal Controls – Ensure compliance with healthcare financial regulations (HIPAA, Medicare/Medicaid, PBM relationships) and maintain strong internal controls as the company scales.
• Operational & Strategic Support – Provide financial insight and reporting to clinic and pharmacy leadership, assist with budgeting, forecasting, variance analysis, and process improvements in accounting workflows.

Qualifications

• Bachelor’s degree in Accounting or related field (required)
• 5–10 years of progressive accounting experience, with advanced Excel skills
• Healthcare industry experience preferred; multi-site and M&A integration experience highly desirable
• Strong analytical, organizational, and communication skills; able to work independently and handle complex projects