Senior Accountant - Full Time

Randolph Hospital District D B A Memorial Hospital; Chester (IL); On-site; USD 50,000 - 62,000; Full time

Job summary

Memorial Hospital in Chester, IL is seeking a Senior Accountant to lead financial reporting and closing processes within the Business Office. The role supports the CFO and collaborates with management, auditors, and external partners to ensure accuracy and compliance.

Responsibilities include preparing financial statements, budgeting support, audit coordination, and improving internal controls. A Bachelor’s in Accounting or related field is required; CPA/CMA or advanced degrees are preferred.

Qualifications

• Bachelor’s degree in Accounting, Finance, or related field required.
• CPA or CMA preferred; MBA in Accounting/Finance acceptable.
• Minimum of five years progressive accounting experience; healthcare exp. preferred.
• GAAP and governmental accounting principles knowledge; advanced Excel required.

Responsibilities

• Coordinate and manage monthly and annual financial closing processes.
• Prepare monthly financial statements and supporting schedules.
• Maintain general ledger integrity and chart of accounts.
• Review reconciliations and journal entries for accuracy.
• Calculate contractual allowances and other accounting estimates.
• Maintain fixed asset records including depreciation and disposals.
• Coordinate annual audit schedules and liaise with external auditors.
• Support Medicare/Medicaid reimbursement reporting and budget development.
• Prepare monthly Board financial reports and management packages.
• Analyze financial performance and explain variances.
• Assist CFO with cash flow forecasting and financial modeling.
• Provide training to junior accounting staff.

Skills

Communication

Attention to detail

Analytical thinking

Independent work

Team collaboration

Education

Bachelor's degree in Accounting/Finance

CPA

CMA

MBA (preferred)

Tools

Microsoft Excel

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Senior Accountant - Full Time

Full Time 40+ Clerical Chester, IL, US

2 days ago Requisition ID: 1559

Salary Range: $36.00 To $45.00 Hourly

Memorial Hospital in Chester, IL is looking for a Senior Accountant.

The successful candidate will be a highly organized and analytical professional who demonstrates strong attention to detail, sound judgment, and a commitment to accuracy. They will possess excellent communication skills, the ability to work independently, and a collaborative approach to working with hospital leadership, department managers, auditors, and external partners.

Why Join Memorial Hospital?

• Opportunity to work directly with executive leadership and influence organizational success.
• Meaningful role in supporting a community-focused healthcare organization.
• Collaborative team environment with opportunities for professional growth and development.
• Ability to make a measurable impact on the financial stability and future of the hospital.

Join Memorial Hospital and help strengthen the financial foundation that supports exceptional care for our community.

Job Title: Senior Accountant
Department: Business Office
Immediate Supervisor: Chief Financial Officer

JOB SUMMARY:

Responsible for the integrity of financial reporting, general ledger management, financial analysis, budgeting support, audit coordination, and compliance activities. Serves as the lead accounting professional within the department and supports the Chief Financial Officer in maintaining accurate financial records, safeguarding assets, preparing financial statements, and ensuring compliance with applicable accounting standards and healthcare regulations.

Qualifications :

Education : Bachelor’s degree in Accounting, Finance, or related field required. CPA, CMA, Master’s degree in Accounting, Finance, or Business Administration preferred. Equivalent combinations of education and experience may be considered at the discretion of the hospital.

Training : Twelve weeks to become familiar with all the job responsibilities. Six months to become proficient in all tasks. Must be willing to continually adapt to changes in the job responsibilities and become proficient in the continuous change of the industry.

Experience : Minimum of five years progressively responsible accounting experience preferred. Healthcare accounting experience preferred. Critical Access Hospital experience preferred.

Job Knowledge : Knowledge of Generally Accepted Accounting Principles, Governmental Accounting Principles, healthcare financial reporting, budgeting, reimbursement methodologies, internal controls, and financial analysis. Advanced Microsoft Excel proficiency required.

Performance Requirements :

ESSENTIAL FUNCTIONS :

• Coordinate and manage monthly and annual financial closing processes.
• Prepare monthly financial statements and supporting schedules.
• Maintain the integrity of the general ledger and chart of accounts.
• Review account reconciliations and journal entries for accuracy and completeness.
• Calculate contractual allowances and other accounting estimates.
• Maintain fixed asset accounting records including capitalization, depreciation, transfers, and disposals.
• Coordinate preparation of annual audit schedules and serve as primary liaison for external auditors.
• Assist in the preparation and support of Medicare, Medicaid, and other reimbursement reporting requirements.
• Assist with the development and monitoring of annual operating and capital budgets.
• Prepare monthly Board financial reports and management reporting packages.
• Analyze financial performance, identify trends, and explain variances.
• Assist the CFO with cash flow forecasting, financial modeling, and strategic planning initiatives.
• Prepare statistical reports, grant schedules, and regulatory filings.
• Recommend improvements to accounting procedures, internal controls, and reporting processes.
• Provide training and technical guidance to the Accountant position.
• Serve as backup for accounts payable, cash management, and other accounting functions.
• Assist the Business Office in AR follow-up and payment posting, assist the CFO in charge capture, reviewing prices, and maintaining the charge master
• Participate in special projects and perform other duties as assigned.

LEADERSHIP EXPECTATIONS:

• Serve as lead accounting resource for the organization.
• Promote accountability, accuracy, and continuous improvement.
• Mentor and cross-train accounting staff.
• Identify operational efficiencies and process improvements.
• Demonstrate sound independent judgment and professional decision-making.

Physical Demands : Sits, stands, and walks during the workday. Reaches, lifts, carries, stoops, bends, and operates light office equipment. Has the ability to work under conditions of frequent interruptions. Adapts willingly and effectively to change. Travels outside the hospital when necessary.

Responsibility for ERRORS, LOSSES AND PROCESSES: Responsible for accurate financial reporting, account reconciliations, general ledger integrity, financial statement preparation, audit coordination, and compliance with accounting standards and organizational policies.

Employee, Patient, Physician, and Public Relationships : Maintains effective working relationships with Administration, Department Managers, auditors, regulatory agencies, banking partners, and external consultants. Communicates financial information clearly and professionally while maintaining confidentiality.

Judgment : Exercises independent judgment in financial analysis, interpretation of accounting standards, preparation of financial statements, and resolution of complex accounting issues. Demonstrates professionalism and resourcefulness in addressing challenges within the healthcare environment.

Confidentiality : Maintains confidentiality of all patient, employee, financial, and proprietary information in accordance with hospital policy and HIPAA requirements.

BENEFITS: PTO Accrual .085 earned per hour worked. Retirement contribution of 5% with optional match program. Wellness health insurance for employee for $20.00 a month.

Qualified applicants will be interviewed by November 6, 2026.

Memorial Hospital is an Equal Opportunity Employer.