Job Description

Job Description

Job Description

Position Summary  

The Accountant plays a critical role in supporting the financial integrity and operational sustainability of the health center by maintaining accurate and timely accounting records in compliance with Generally Accepted Accounting Principles (GAAP) and federal grant regulations. This position is responsible for general ledger maintenance, account reconciliations, journal entries, and financial reporting functions that ensure transparency, accountability, and sound fiscal management. 

In the FQHC setting, the Accountant works closely with the finance team to ensure compliance with the Health Resources and Services Administration (HRSA) and Uniform Guidance (45 CFR Part 75) requirements, particularly related to grants management, allowable costs, and financial audits. The position supports the preparation of monthly financial statements, assists with budget tracking, and contributes to audit readiness. 

This role requires a high degree of accuracy, attention to detail, and the ability to meet deadlines in a dynamic, mission-driven environment. The Accountant reports to the Chief Financial Officer (CFO) and collaborates with CEO, Accounts Payable Specialist, as well as internal departments to provide financial insights that support operational and strategic decision-making. 

Principal Duties and Responsibilities*  

General Accounting & Financial Reporting 

• Prepare and post journal entries to the general ledger in accordance with GAAP and organizational policies. 
• Reconcile bank accounts, balance sheet accounts, and subsidiary ledgers monthly. 
• Assist in the preparation of timely and accurate monthly, quarterly, and annual financial statements. 
• Support month-end and year-end close processes, ensuring adherence to deadlines and completeness. 
• Resolve any discrepancies or irregularities found in the financial records, statements, or documented transactions. 

Grant & Restricted Fund Accounting 

• Track and monitor revenues and expenditures for federal grants in compliance with 45 CFR Part 75. 
• Track and monitor revenues and expenditures state and private grants in compliance with grant specific contracts, agreements, and/or regulatory requirements. 
• Maintain proper documentation to support grant reimbursements and assist in drawdown submissions. 
• Prepare grant financial reimbursements and reporting and ensure costs are allowable, allocable, and reasonable under the grant-specific compliance requirements (i.e. Uniform Guidance, grant contracts, etc.) 

Accounts Payable & Receivable Support 

• Review vendor invoices and employee reimbursements for proper coding, documentation, and compliance. 
• Review receivable invoices and payments for proper coding, documentation, and compliance. 
• Support the AP function with proper entry, 1099 tracking, and vendor file maintenance. 
• Assist in reconciling patient accounts, third-party reimbursements, and other receivables to sub-ledger. 

Audit & Compliance Support 

• Prepare supporting schedules and documentation for annual independent audits, Uniform Guidance single audits, and other financial reviews. 
• Maintain organized financial records in alignment with audit requirements and FQHC-specific compliance standards. 
• Support internal control monitoring and segregation of duties, reporting any variances or irregularities. 

Budgeting & Forecasting Support 

• Assist with annual budget preparation by gathering and analyzing historical financial data. 
• Track budget-to-actual variances and provide reports for departmental review. 
• Support cash flow forecasting and financial planning processes. 

Financial Systems & Process Improvement 

• Use accounting software (e.g., QuickBooks, Sage Intacct, Blackbaud, etc.) and electronic systems to streamline workflow. 
• Participate in system upgrades or implementation of accounting automation tools. 
• Recommend and assist in implementing improved accounting procedures to ensure efficiency and accuracy. 

Collaboration & Communication 

• Work collaboratively with finance team members, clinical and operational departments, and external partners. 
• Provide financial information and support to department heads in a clear and accessible manner. 
• Participate in cross-training and back-up functions within the finance team. 
• Conduct special studies and analysis. 
• Perform other related duties as assigned. 

Required Skills or Abilities*  

1. Strong understanding of Community Health Center finance and accounting practices. 
2. Above-average skills in accounting practices, computer literacy, and time management. 
3. Highly proficient in QuickBooks, Microsoft Excel, and Outlook. QuickBooks certification is a plus. 
4. Ability to quickly grasp and simplify complex accounting topics. 
5. Strong verbal and written communication skills. 
6. Professionalism and discretion in handling confidential financial information. 
7. Operate independently and work well with other Finance and NHC staff. 
8. High attention to detail and accuracy. 
9. Ability to handle a large, diverse volume of work in an efficient manner. 
10. Strong practical thinking and problem-solving skills.
11. Ability to cultivate and develop inclusive and equitable working relationships with co-workers and community members. 
12. Ability to serve as an advocate for individuals of all ethnicities, genders, ages, and backgrounds. 

Required Knowledge, Experience, or Licensure/Registration  

1. Bachelor’s degree in accounting or associate degree with additional relevant experience may be considered. 
2. Minimum of three years related experience with increasing responsibilities. Bookkeeping certification will be considered. 
3. A minimum of 2-3 years of accounting experience, preferably in healthcare or nonprofit setting.
4. Experience with federal grants accounting or knowledge of 45 CFR Part 75 (Uniform Guidance) preferred. 
5. Familiarity with FQHC operations, HRSA funding, or Medicaid/Medicare billing is a strong plus. 
6. Ability to work onsite Mondays through Fridays during the hours of 8am and 5pm. 
7. Ability to read, write, speak, and comprehend English fluently. 
8. Up-to-date immunizations 

Physical requirements of the Job*  

Sitting or standing (often for prolonged periods)

Carrying or lifting objects up to 20 pounds 

This is a full-time, exempt position.  

* To comply with the Americans with Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical, mental and environmental conditions of the essential duties of the job. 

NeighborHealth Center is an Equal Opportunity Employer. NHC is dedicated to building a culturally diverse staff committed to serving a diverse patient population. We encourage applications from women, minority groups, veterans, and people with disabilities.

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