Accounting, Accounting Close, Asset Management, Balance Sheet, Billing, Budgeting, Cash Management, Communication Skills, Depreciation, Detail Oriented, Disbursements, Documentation, Electronic Medical Records, Endowments, External Audit, Finance, Financial Reporting, Flexible Spending Accounts, Fund Accounting, Funding, General Ledger Accounting, Generally Accepted Accounting Principles (GAAP), Healthcare, Home Care, Hospice Care, Investment Reporting, Journal Entries, Leadership, Legal, Medical Billing, Medicare Cost Reports, Nonprofit, Organizational Skills, Palliative Care, Pivot Tables, Process Management, Reconciliation, Sales Tax, Standard Operating Procedures (SOP), Time Management, Variance Analysis, Vlookups, Writing Skills
Looking for a Rewarding Career in Health Care?
AuthoraCare Collective is currently seeking a Senior Accountant. This is a Full-time position Monday - Friday, 8:00am - 5:00pm. The role is hybrid with a minimum of 2 days in the office each week.
Job Summary:
The Senior Accountant is a key member of the Finance team, responsible for general ledger accounting, bank reconciliations, cash management, investment reporting, compliance, and audit support across three legal entities. This is a hands-on role requiring strong accounting fundamentals, intermediate-to-advanced Excel proficiency, and the ability to independently manage recurring processes and meet month-end deadlines consistently.
Our team members enjoy the following benefits: Paid time off (PTO), Seven paid holidays, flexible work schedules, medical, dental, vision, disability, and life insurance. Employee engagement activities and 403B match after 12 months of service.
Qualifications:
Required
- Bachelor's degree in accounting, Finance, or related field
- Minimum 5 years of accounting experience, preferably in healthcare
- Strong knowledge of GAAP and nonprofit accounting principles including fund accounting and net asset classification
- Intermediate-to-advanced Excel proficiency: VLOOKUP/XLOOKUP, SUMIF, and pivot tables are required for this role
- Experience with multi-entity general ledger systems; Blackbaud Financial Edge NXT strongly preferred
- Ability to manage recurring close processes independently, meet deadlines consistently, and communicate proactively when issues arise
- Strong attention to detail, organizational skills, and commitment to maintaining documentation in shared locations
Preferred
- Experience in hospice, palliative care, or home health accounting
- Experience with intercompany transactions & reconciliation
- Experience with HCHB (HomeCare HomeBase) or similar EMR/billing system
- Experience with investment account reconciliation and endowment fund tracking
Key Responsibilities:
General Ledger & Journal Entries
- Prepare and post monthly recurring journal entries across all three entities: including payroll accruals, mileage accruals, prepaid amortization, depreciation, goodwill amortization, lease entries, and investment gain/loss
- Manage intercompany journal entries, quarterly reconciliation, and fund transfers between entities
- Record daily deposit entries, FSA/HSA withdrawals, bank charges, and money market activity
- Ensure all entries are posted accurately before month-end close deadlines; maintain JE templates in shared location
Bank Reconciliations
- Reconcile all assigned bank accounts monthly across multiple financial institutions: operating, foundation, money market, and other accounts
- Identify and resolve outstanding items and reconciling differences promptly; maintain reconciliation workpapers in shared drive
- Prepare daily deposits, manage remote deposit procedures, and record receipts to the GLReview cash receipts, match deposits to GL, and identify discrepancies; serve as backup for cash disbursements when needed
Net Assets, Investments & Donations
- Maintain net asset tracking worksheet monthly with accurate fund classification; reconcile investment activity quarterly and prepare the quarterly investment transfer package including the Quarterly Transfer Detail worksheet
- Review donations above $5,000: confirm restriction classification, maintain backup documentation, and coordinate quarterly fund transfers to the investment account
Compliance & Reporting
- Prepare and file semi-annual NC Sales Tax Refund (April 15 and October 15)
- Support annual Medicare Cost Report preparation: pull source data, reconcile to GL, and maintain step-by-step SOP
- Support the annual external audit by preparing approximately 50% of audit request schedules and work papers across all three entities
- Maintain written SOPs for all recurring processes
Balance Sheet & Financial Reporting
- Reconcile all assigned balance sheet accounts by the 25th of each month using a month-by-month activity format; investigate and resolve any unexplained balances
- Support monthly budget vs. actual variance analysis: prepare variance schedules, explain significant variances, and contribute to monthly financial reporting for leadership and the Finance Committee
Our Mission:
AuthoraCare Collective empowers people to be active participants in their care journey, enabling them to live on their own terms through personalized support for mind, body, and spirit.
Our patients are always the author of their life story. During a challenging illness, AuthoraCare Collective helps them author more moments that matter, regardless of the stage of their illness or condition. This is captured by our tagline: Your Story. Our Expert Care.