Bookkeeper / Healthcare Accounting Specialist Job at Total Rehab LLC, Utica, NY

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  • Total Rehab LLC
  • Utica, NY

Job Description

Job Description

Job Description

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 & Bookkeeping
  • Maintain general ledgers for multiple related healthcare entities
  • Post and reconcile daily financial transactions
  • Manage accounts payable and accounts receivable
  • Perform monthly bank, credit card, and merchant account reconciliations
  • Prepare and track intercompany transactions and allocations
  • Maintain fixed asset and depreciation schedules
Healthcare-Specific Financial Functions
  • Reconcile deposits against billing and collections reports (ASC facility fees and professional fees)
  • Coordinate with billing companies and revenue-cycle vendors
  • Track insurance payments, patient payments, and adjustments
  • Assist with tracking payer mix, write-offs, and contractual adjustments
  • Support preparation of financial data for audits, AAAHC surveys, and compliance reviews
Payroll & Expense Oversight
  • Support payroll processing and payroll reconciliations
  • Track employee reimbursements, stipends, and expense reports
  • Monitor benefits, taxes, and withholdings in coordination with payroll vendors
Reporting & Compliance
  • Generate monthly financial statements (P&L, balance sheet, cash flow)
  • Assist with budgeting, forecasting, and variance analysis
  • Support year-end close and coordination with CPAs and tax advisors
  • Ensure documentation and processes align with healthcare compliance requirements

Work Environment
  • Professional healthcare setting
  • Collaborative administrative and clinical leadership team
  • Emphasis on accuracy, compliance, and operational excellence

 

Qualifications Required
  • 3+ years of bookkeeping or accounting experience
  • Associate’s or bachelor’s degree in accounting, Finance, or related field
  • Strong understanding of GAAP principles
  • Proficiency with accounting software (QuickBooks or similar)
  • High attention to detail and strong organizational skills
  • Ability to manage confidential financial and patient-adjacent information
  • Experience handling multiple entities or locations
Preferred
  • Experience with ambulatory surgery centers (ASC)
  • Prior experience in healthcare, medical practice, or ASC      environments
  • Familiarity with medical billing workflows and revenue cycle management
  • Experience coordinating with external billing and payroll vendors
  • Experience supporting audits or accreditation surveys (AAAHC, CMS)

Compensation details: 55000-65000 Yearly Salary

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