Accounting & Payroll Specialist
Northeast OB/GYN • San Antonio, Texas • Full Time
Posted on Wed, May 6, 2026
- Works collaboratively with Business Office/Practice managers on daily maintenance of accurate deposits and bank balances.
- Balances checkbook, initiates bank transfers, reconciles daily deposits, P&L, cash flow and bank statements and provides detailed and accurate information to appropriate divisions upon request.
- Formulates monthly financial statements.
- Performs accounts payable function of practice.
- Pay invoices for office supplies as necessary to ensure proper inventories.
- Looks for opportunities to save money on monthly expenses and reports to COO and practice managers, with the exception of utilities, phones or computers. Provides financial information feedback to the COO, Accountant, and practice managers.
- Transfers monies among practice accounts as necessary and approved by COO.
- Assist in preparing internal financial reports for physician leadership review. Prepares physicians payroll/bonus calculations, reconciliations, expenses, misc. costs, etc.
- Attends monthly/weekly/biweekly meetings as needed for each division
- Assists with developing annual budget(s) with COO/Practice Managers.
- Process and record vendor invoices, reimbursements, and check requests with proper coding and approvals.
- Maintain accurate records of vendor accounts; reconcile statements and resolve discrepancies.
- Manage patient and third-party receivables as needed; track and follow up on outstanding balances.
- Prepare and post journal entries, ensuring all transactions are coded accurately.
- Perform bank and credit card reconciliations for multiple practice locations.
- Support month-end and year-end closing activities, including accruals and account reconciliations.
- Attends monthly/weekly/biweekly meetings as needed for each division.
- Review payroll reports for accuracy and ensure proper allocation of payroll expenses by department and location.
- Assist with benefit deductions, PTO tracking, and other payroll-related reconciliations.
- Coordinate with HR and external payroll providers to ensure timely processing.
- Performs some payroll duties, including tax deposits, insurance payments, 401k payments, and other ancillary plans.
- Monthly Prepares physicians payroll/bonus calculations, reconciliations, expenses, misc. costs, etc.
- Pull, review, and reconcile financial and operational data from medical software systems (e.g., EHR, practice management, or billing platforms).
- Generate reports on physician productivity, collections, and clinic performance.
- Collaborate with the administrative and physician leadership teams to analyze trends and support data-driven decision-making.
- Maintain organized and secure financial records in compliance with HIPAA, internal policies, and audit requirements.
- Support the preparation of documentation for annual audits and tax filings.
- Ensure adherence to GAAP and practice-specific accounting policies.
- Assist with additional duties that may be assigned.