General Accountant

Key responsibilities

• Manage full-cycle general accounting functions including journal entries, account reconciliations, and month-end and year-end close processes.
• Prepare accurate and timely financial statements in compliance with GAAP and applicable healthcare industry regulations.
• Oversee accounts payable and accounts receivable functions, ensuring proper coding and timely processing aligned with healthcare billing standards.
• Monitor and reconcile general ledger accounts, identifying and resolving discrepancies with precision and urgency.
• Support internal and external audit processes by preparing required documentation, schedules, and variance analyses.
• Assist in the preparation of annual budgets and multi-year financial forecasts in collaboration with department leadership.
• Ensure compliance with Puerto Rico Treasury Department (Hacienda) requirements, federal tax obligations, and applicable CMS/Medicaid/Medicare billing regulations.
• Analyze financial performance data and deliver actionable insights and reports to senior management.
• Maintain and improve internal controls and accounting procedures to safeguard organizational assets.
• Collaborate cross-functionally with clinical, operations, and HR teams to support budgeting and cost-center reporting needs.

Skills & experience

• Minimum 5 years of progressive accounting experience, with at least 2 years in a healthcare, hospital, or medical services environment strongly preferred.
• Bachelor's degree in Accounting, Finance, or a related field required; CPA license (ICPA — Puerto Rico) is a significant advantage.
• Solid working knowledge of GAAP, healthcare revenue cycle principles, and Puerto Rico and U.S. federal tax regulations.
• Proficiency in accounting software (e.g., QuickBooks, SAP, Oracle, or similar ERP/healthcare financial systems); advanced Microsoft Excel skills required.
• Familiarity with Medicare, Medicaid, and/or private health insurance billing, reimbursement processes, and cost reporting is highly desirable.
• Strong analytical skills with the ability to interpret complex financial data and communicate findings clearly to non-financial stakeholders.
• High degree of accuracy, integrity, and confidentiality in handling sensitive financial and patient-adjacent data.
• Excellent organizational skills with the ability to manage competing deadlines in a fast-paced healthcare environment.
• Bilingual proficiency in Spanish and English (written and verbal) required.

Benefits

This search is being managed exclusively by PeopleLift. Please submit your resume in English or Spanish along with a brief summary of your healthcare accounting experience. All inquiries will be handled with strict confidentiality.