Supervising Accountant – Internal Audit & Financial Operations

Full-Time | Leadership Role | Positive Work Environment

About the Role

We are seeking an experienced and highly analytical Supervising Accountant – Internal Audit & Financial Operations to oversee and manage the full accounting cycle within our growing healthcare organization. This leadership role combines internal auditing, financial oversight, billing compliance, payroll processing, and supervision of accounting staff.

Our team values work-life balance, collaboration, and a supportive workplace culture. We pride ourselves on maintaining a respectful, professional, and positive environment where team members work well together and support one another.

This role reports directly to executive leadership and plays a critical part in maintaining financial integrity, regulatory compliance, and operational stability.

Key Responsibilities

Internal Auditing & Billing Oversight

• Prepare, review, and audit 30/60/90-day aging reports to ensure timely and accurate medical billing

• Oversee primary, secondary, and tertiary claims submissions, corrections, appeals, refunds, and write-offs

• Identify and escalate high-priority claims to executive leadership when necessary

• Conduct weekly audits to ensure compliance and accuracy in electronic and manual billing

• Monitor trends in billing performance and recommend process improvements

Payment Processing & Reconciliation

• Review and organize Explanation of Benefits (EOBs)

• Accurately post and reconcile payments in QuickBooks Enterprise

• Analyze electronic billing batches for trends and discrepancies

• Match payments against billed services to determine next actions (additional billing or refunds)

• Ensure compliance with healthcare financial regulations

Financial Monitoring & Reporting

• Prepare and review financial reports including:

  • Profit & Loss statements

  • Balance sheets

  • Budget analyses

  • Financial trend reports

• Monitor collections, write-offs, and cash flow

• Investigate and resolve discrepancies or atypical financial patterns

• Present monthly financial summaries to ownership

Budget & Expense Management

• Review and recommend departmental budgets (supplies, therapy materials, team initiatives)

• Track and analyze service costs compared to reimbursements

• Identify cost trends and recommend strategic adjustments

• Ensure budget compliance and financial accountability across departments

Payroll Administration

• Process payroll for employees and contractors, including deductions and benefits

• Verify accuracy of pay, PTO, tax withholdings, and benefits

• Maintain clear communication regarding payroll inquiries

• Ensure compliance with employment classifications and reporting requirements

Banking & Financial Reconciliation

• Reconcile bank and credit card statements

• Categorize expenses accurately prior to reconciliation

• Coordinate with CPA for tax preparation and deduction optimization

• Maintain organized financial documentation and audit readiness

Cash Flow & Operational Stability

• Monitor deposits and debits to maintain strong financial standing

• Ensure adequate reserves for operational continuity and contingency planning

• Identify opportunities for financial process improvement

Leadership & Team Supervision

• Supervise billing and accounting staff

• Provide guidance in auditing, dispute resolution, and workflow prioritization

• Foster a collaborative, solutions-oriented team environment

Relationship & Compliance Management

• Maintain secure and professional financial relationships with:

  • Patients and caregivers

  • Physicians and medical offices

  • Therapists and internal staff

  • Insurance representatives

  • Banking institutions and legal professionals

• Ensure strict adherence to HIPAA and protection of sensitive financial and health information

• Promote secure communication practices including encrypted email and protected portals

Qualifications

Required

• Bachelor’s Degree in Accounting

• Corporate accounting experience (healthcare or medical billing experience strongly preferred)

• Expert-level proficiency in:

  • Microsoft Excel (advanced data analysis required)

  • QuickBooks Enterprise

• Strong analytical and auditing skills

• Experience supervising staff

• Dependable transportation

Preferred

• Experience in healthcare financial operations

• Strong customer service and professional communication skills

• Experience working in fast-paced, detail-oriented environments

Skills & Competencies

• Exceptional organization and time-management skills

• High level of integrity and discretion

• Strong critical thinking and problem-solving ability

• Excellent written and verbal communication

• Ability to interact positively with diverse stakeholders

• Technologically proficient (Outlook, Word, Excel, office systems)

Why Join Us?

• Supportive, collaborative team culture

• Excellent work-life balance

• Leadership-level influence and visibility

• Opportunity to improve systems and drive financial excellence

• Stable healthcare company with good benefits package: PTO, insurance and 401