Accounting Specialist: AR & AP Clerk (Primary focus AR), full time
Grace Cottage Family Health & Hospital • Townshend, VT • Full Time • $21–$27 / hour
Posted on Mon, Oct 5, 2026
This position is 32.5 hours per week, Monday- Friday. Flexibility to be in person or hybrid.
Position Summary: The primary focus of this role is Accounts Receivable (AR), handling all daily financial transactions for the healthcare facility by tracking and posting patient and insurance revenue. To ensure operational continuity to provide critical coverage for department vacations, illnesses, and high-volume workflow overflows, you will also be fully trained in Accounts Payable (AP) paying medical suppliers, service providers, and vendors accurately and on time
Qualifications:
- Education: High school diploma required; Associate’s or Bachelor’s degree in accounting, finance, or a related field preferred.
- Experience: 2 to 4 years of general accounting, AR, or AP experience, preferably within a hospital, clinic, or medical office setting.
- Technical Skills: Proficiency in Microsoft Excel (formulas, filtering, data sorting), ten-key data entry, Adobe Acrobat (combining documents, splitting pages, and digital signing) and the broader Microsoft platform (Word, Outlook, Teams). Knowledge of computerized accounting software or ERP systems and basic medical billing systems is a plus.
- Strong numerical accuracy and a keen eye for finding inconsistencies in large volume of financial transactions.
- Soft Skills: Strong attention to detail, verbal communication skills, and the ability to resolve discrepancies professionally.
Essential Functions of the Position:
Primary Role: Accounts Receivable (AR)
- Review and post daily high-volume payments, including ACH, wire transfers, patient payments, insurance remittances, and credit cards into our Cerner EHR (Electronic Health Record) patient accounting system.
- Process insurance payments and patient copays accurately within the patient accounting system.
- Verify transaction data against bank records to ensure all processed payments match actual funds received.
- Collect payment records from various internal departments to reconcile external collections with system logs.
- Reconcile daily transactions and financial activity for entire facility to ensure zero discrepancies at the close of each business day
Cross-Trained Role: Accounts Payable (AP) Support
- Execute full accounts payable duties during team vacations, illnesses, or periods of high volume.
- Code, verify, and input vendor and medical supply invoices into the Multiview ERP (Enterprise Resource Planning) system.
- Reconcile vendor statements and respond professionally to payment inquiries.
Compliance & Office Operations
- Maintain strict confidentiality regarding patient financial information and vendor contracts.
- Adhere strictly to HIPAA and internal healthcare accounting controls.
- Maintain spreadsheets to track financial metrics and data points.
Why Grace Cottage? Grace Cottage has been voted “Best Place To Work,” in the Brattleboro Reformers Readers’ Choice Award since 2019. We are also included in the Vermont Biz Magazines 2023 - 2026 Best Places To Work in Vermont! Who wouldn’t want to work in a small hospital in VT with these accolades. Grace Cottage is surrounded by beautiful mountains to ski/snowboard/snowshoe, stunning hiking adventures, and a short commute to quaint Vermont towns.
How We Support You:
- Rich Medical, Dental and Vision Insurance
- 401(k) with matching
- Life And Disability Insurance
- Loan Reimbursement
- Tuition Reimbursement
- Generous Earned Time Off Package
- Responsive Employee Assistance Program
- Wellness Motivations And Incentives
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What the data says about this job
- Advertised pay for Accounting Specialist: a median of $58,240 across 2,929 priced postings. This posting advertises $43,680 to $56,160, 14% below that median. Explore the market
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