Accounting Manager
ScionHealth • San Antonio, Texas • Full Time
Posted on Thu, May 21, 2026
Kindred Hospital San Antonio is a long-term acute care (LTAC) hospital specializing in the treatment of patients recovering from post-intensive care and medically complex conditions. Our hospital provides both intensive care and telemetry-level services, offering advanced monitoring and support for patients requiring extended medical care. With a multidisciplinary team dedicated to personalized treatment plans, we focus on helping patients achieve significant recovery and transition to the next level of care.
Job Summary
Assists the CFO in the management of the fiscal services department, including the development, interpretation, coordination, and administration of the hospital’s policies on finance, accounting, insurance, financial/accounting systems, internal controls, and auditing. Maintains departmental reports and records and collects statistical data for administrative and regulatory purposes. Coordinates the functions of reimbursements, budget, patient accounting, medical records, admissions and general accounting, which includes general ledger accounting, accounts payable, and cashiering. Prepares report outlining hospital’s financial position in all areas of assets, liabilities, income and expense, based on past, present, and planned future operations.Essential Functions
- Assists the CFO to plan and develop departmental budgets, revenue, capital and operational expenses, sufficient number of staff, and any other plans for allocation of fiscal or other resources according to the scope of services provided.
- Develops, designs and provides for a written scope of services, departmental policies and procedures that guide and support the provision and integration of services according to mission and vision of the hospital.
- Ensures accuracy and completeness of the hospital’s financial statements.
- Coordinates all financial activities for the hospital and manages the accounting process.
- Participates in the hospital’s long-term and short-term financial process.
- Adheres to all financial policies and procedures as established by the Corporation through its Board of Directors.
- Participates in the development of accounting, and internal control policies and systems and addresses related policy/system issues.
- Provides advice and guidance and assists as necessary in preparing and analyzing financial reports/statements in conformance with standard accounting practices and guidelines and executes appropriate responsive actions.
- Participates in the development of an annual budget for the Hospital and monitors the performance of all departments and services in conformance with the budget.
- Evaluates data processing needs on an ongoing basis and recommends programs to changing needs.
- Participates in the analysis of the financial implications of proposed capital projects and expenditures and recommends the execution of appropriate measures to respond to projected economic trends and/or regulatory changes.
- Reviews contracts and makes recommendations regarding the viability of the contracted service, the cost of the program/service and general conditions of the contract.
- Provides advice and assistance to department heads and managers in analyzing and interpreting financial data and reports and in presenting that information to their departments and/or physician groups.
- Ensures that accurate information is provided on a timely basis and assists, as needed, in facilitating the efficient conduct of external audits, examinations and related financial projects.
Knowledge/Skills/Abilities/Expectations
- Excellent oral and written communication and interpersonal skills.
- Basic computer skills with working knowledge of Microsoft Office applications, Patient Accounting systems and General Ledger systems.
- Must have thorough knowledge of accounting, finance, reimbursement and budgeting as relates to healthcare.
- Approximate percent of time required to travel\: Limited
Education:
- Bachelors degree in Accounting or Finance. Equivalent combination of education, training, and experience may substitute for education requirements.
Licenses/Certifications:
- CPA, preferred
Experience:
- 3 years prior experience in a hospital or healthcare setting