Accountant
Billings Clinic • Billings, Montana • Full Time • $26.37–$32.97 / hour
Posted on Wed, Nov 11, 2026
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!
Accountant - Finance
FINANCE (Billings Clinic Main Campus)
req12461
Shift: Day
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
Starting Wage DOE: $26.37 - 32.97
The Accountant role is essential to maintaining the accuracy, integrity, and compliance of financial reporting, reconciliation, and analysis for Billings Clinic and its affiliated entities. Accountants are responsible for developing and maintaining financial records, preparing monthly financial statements, and performing a variety of analyses to support informed decision-making. They work collaboratively with external auditors to ensure timely completion of audits, tax filings, and regulatory reports, while upholding all relevant compliance standards. This role serves as a financial resource within the organization, assisting departments in understanding financial data and contributing to sound business decisions. Accountants also engage in ongoing professional development to strengthen their expertise and enhance team capabilities, ensuring the financial health and sustainability of Billings Clinic.
Essential Job Functions
• Develop and maintain financial records for all Billings Clinic entities, affiliates, and other unrelated entities, including preparation of journal entries, adjustments, monthly financial statements, and reconciliation of accounts to ensure accuracy and compliance with regulatory standards.
• Assist independent third-party and regulatory auditors by preparing and organizing documentation necessary for audits and supporting the process through to final audit completion.
• Identify required data for financial analyses and reporting, utilizing both internal and external resources to gather and compile necessary information efficiently.
• Prepare quantitative analyses within established deadlines, ensuring all reports and findings adhere to Billings Clinic financial policies and procedures.
• Manage grant reporting activities, including annual indirect cost calculations, semiannual federal financial status reporting, and grant fund drawdowns; reconcile grants and oversee audits to ensure compliance and timely fund availability.
• Collect and compile information for benefit plan reporting, internal financial audit work papers, and the preparation of related tax returns, ensuring accuracy and adherence to tax regulations.
• Gather and verify monthly departmental statistics for financial reporting, ensuring data accuracy and supporting informed organizational decision-making.
• Calculate contractual adjustments and perform monthly accounts receivable reconciliations, designing reports to gather data necessary for accurate contractual percentage calculations.
• Act as a financial resource for operational departments, providing guidance on financial information to aid in strategic decision-making and enhance departmental understanding of financial data.
• Complete accurate financial questionnaires, surveys, and reports for clients and stakeholders within stipulated deadlines.
• Apply performance improvement principles to continually assess and enhance the quality and accuracy of financial processes and reporting.
• Participate in the development and maintenance of departmental policies and procedures, supporting consistent and efficient operations.
• Stay informed of current legal and regulatory changes, ensuring that financial processes and reporting remain compliant and that any necessary adjustments are made proactively.
• Maintain and manage application or system files impacting the department, working closely with Information Services and Human Resources for updates, scheduling, and issue resolution.
• Identify personal development needs and set professional growth goals, meeting all mandatory organizational and departmental requirements to maintain competency.
• Maintain competency in all organizational, departmental, and external agency standards related to environmental, employee, and patient safety.
• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization.
Minimum Qualifications
Education
• 4 Year / Bachelors Degree Bachelor's Degree in Accounting, Finance, Business Administration, or a related field.
• Preferred Relevant coursework or experience in general ledger accounting, financial reporting, or regulatory compliance may enhance candidacy.
Experience
• One (1) year of related work experience in accounting, finance, or a similar field.
• Experience in general ledger accounting, financial reporting, or compliance within a healthcare or nonprofit setting is beneficial but not required.
Certifications and Licenses
• Certified Public Accountant (CPA) Preferred or other relevant accounting certification, though not required.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
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What the data says about this job
- Advertised pay for Staff Accountant: a median of $67,500 across 10,765 priced postings. This posting advertises $54,850 to $68,578, 9% below that median. Explore the market
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