Bookkeeper / Healthcare Accounting Specialist

1 week ago


Utica, United States Total Rehab LLC Full time

Omni Surgery Center, a AAAHC-accredited ambulatory surgery center, and Omni Pain & Precision Medicine, a multi-site interventional pain management practice, are seeking a detail-oriented and experienced Bookkeeper / Healthcare Accounting Specialist. This role supports the financial operations of both entities, ensuring accurate bookkeeping, regulatory compliance, and timely financial reporting in a healthcare-regulated environment.The ideal candidate has prior experience in medical practice accounting, understands ASC and professional fee structures, and is comfortable working with multiple legal entities, cost centers, and payer-driven revenue streams.Key ResponsibilitiesCore Accounting & BookkeepingMaintain general ledgers for multiple related healthcare entitiesPost and reconcile daily financial transactionsManage accounts payable and accounts receivablePerform monthly bank, credit card, and merchant account reconciliationsPrepare and track intercompany transactions and allocationsMaintain fixed asset and depreciation schedulesHealthcare-Specific Financial FunctionsReconcile deposits against billing and collections reports (ASC facility fees and professional fees)Coordinate with billing companies and revenue-cycle vendorsTrack insurance payments, patient payments, and adjustmentsAssist with tracking payer mix, write-offs, and contractual adjustmentsSupport preparation of financial data for audits, AAAHC surveys, and compliance reviewsPayroll & Expense OversightSupport payroll processing and payroll reconciliationsTrack employee reimbursements, stipends, and expense reportsMonitor benefits, taxes, and withholdings in coordination with payroll vendorsReporting & ComplianceGenerate monthly financial statements (P&L, balance sheet, cash flow)Assist with budgeting, forecasting, and variance analysisSupport year-end close and coordination with CPAs and tax advisorsEnsure documentation and processes align with healthcare compliance requirementsWork EnvironmentProfessional healthcare settingCollaborative administrative and clinical leadership teamEmphasis on accuracy, compliance, and operational excellenceQualificationsRequired3+ years of bookkeeping or accounting experienceAssociates or bachelors degree in accounting, Finance, or related fieldStrong understanding of GAAP principlesProficiency with accounting software (QuickBooks or similar)High attention to detail and strong organizational skillsAbility to manage confidential financial and patient-adjacent informationExperience handling multiple entities or locationsPreferredExperience with ambulatory surgery centers (ASC)Prior experience in healthcare, medical practice, or ASC environmentsFamiliarity with medical billing workflows and revenue cycle managementExperience coordinating with external billing and payroll vendorsExperience supporting audits or accreditation surveys (AAAHC, CMS)Compensation details: 55000-65000 Yearly SalaryPIad0cdceec55a-29952-39253181 #True



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