Position Overview:

We are seeking a highly skilled and detail-oriented Accounting & Accounts Receivable Specialist to take full ownership of our accounting function within a growing pediatric healthcare practice.

This is a hands-on role responsible for managing the general ledger, P&L, balance sheet, bank reconciliations, and QuickBooks Online (QBO), while also overseeing critical accounts receivable functions, including insurance payment posting, remittance processing, and credit balance management.

The ideal candidate is a strong accountant first, with proven experience maintaining accurate financials and producing reliable reports, along with a working knowledge of healthcare AR processes.

This role partners closely with the President and Executive Director of Business Operations and plays a key role in ensuring financial accuracy, improving processes, and supporting strategic decision-making.

Employment Type:

Full-Time (40 hours/week).
Hybrid flexibility available based on experience and performance.

Key Responsibilities:

Accounting (Primary Focus – Full Ownership):

Maintain full responsibility for general ledger accounting in QuickBooks Online (QBO).
Prepare and analyze monthly, quarterly, and annual financial statements (P&L, Balance Sheet).
Perform monthly bank and account reconciliations.
Ensure accuracy, completeness, and timeliness of all financial data.
Support budgeting, forecasting, and variance analysis.
Maintain strong internal controls and compliance with financial policies.

Accounts Receivable & Revenue Cycle:

Post insurance and patient payments (ERAs/EOBs) accurately and efficiently.
Reconcile payments and investigate discrepancies.
Manage and resolve credit balances and overpayments.
Assist with monitoring AR aging and revenue cycle performance.
Ensure adherence to payer guidelines and billing accuracy.

Operations & Process Improvement:

Identify and implement process improvements across accounting and AR workflows.
Optimize use of QuickBooks Online and internal systems.
Support purchasing and expense tracking as needed.
Collaborate with leadership to improve financial visibility and operational efficiency.
Highly organized with ability to manage multiple priorities
Process-driven with continuous improvement mindset
Excellent communication and collaboration skills
High integrity and confidentiality.

Required Qualifications:

Highly organized with ability to manage multiple priorities.
Process-driven with continuous improvement mindset.
Excellent communication and collaboration skills.
High integrity and confidentiality.

3+ years of full-cycle accounting experience (general ledger, P&L, balance sheet).
Strong expertise in QuickBooks Online (QBO).
Proven experience with:
- Bank and account reconciliations.
- Financial reporting and analysis.
Experience with accounts receivable and payment posting.
Advanced proficiency in Excel.
Strong attention to detail and analytical skills.

Preferred:

Experience in a healthcare, medical, or therapy practice.
Knowledge of:
- Insurance payment posting (ERA/EOB).
- Credit balance management.
- Revenue cycle workflows.
Experience working in a small to mid-sized organization with full ownership of accounting.

Core Competencies:

Strong accounting foundation and financial accuracy.
Highly organized with ability to manage multiple priorities.
Process-driven with continuous improvement mindset.
Excellent communication and collaboration skills.
High integrity and confidentiality.

Why Join Us?

Mission-driven organization serving children and families.
Collaborative leadership team with direct impact on decisions.
Growth potential as the organization expands.
Stable, purpose-driven healthcare environment.

Please visit our website atwww.childandfamilydevelopment.com and our social media pages for additional information about the company.

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