Bookkeeper and Accounting Specialist

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

Position Overview

We are seeking an experienced, detail-oriented Bookkeeper / Accounting Specialist to support our daily accounting and financial operations. This position is responsible for maintaining accurate financial records, processing vendor payments, completing reconciliations, managing expense transactions, and assisting with month-end close.

The ideal candidate has 3–5 years of hands-on bookkeeping or accounting experience and can work accurately and independently in a fast-paced environment. Proficiency in QuickBooks Online and Microsoft Excel is required.

Key Responsibilities

• Organize and maintain accurate, complete, and current financial records in QuickBooks Online.
• Perform daily and monthly bank and credit card reconciliations.
• Review and investigate discrepancies between bank transactions and accounting records.
• Process vendor invoices and maintain accurate accounts payable records.
• Prepare ACH transfers, wire payments, and checks for approval.
• Manage vendor invoices, payment processing, and payment tracking through Bill.com.
• Monitor pending payments, outstanding bills, and vendor payment statuses.
• Reconcile Bill.com transactions with QuickBooks Online and bank records to prevent duplicate entries or payments.
• Manage the Brex credit card portal, including reviewing transactions, collecting receipts, categorizing expenses, and monitoring cardholder activity.
• Assist with monthly credit card reconciliations and resolve missing receipts or transaction discrepancies.
• Maintain accurate vendor records, including W-9 forms, invoices, banking information, and payment details.
• Coordinate with account managers and internal departments to ensure payments and transactions are accurately recorded and reported.
• Assist with month-end close procedures and the preparation of monthly, quarterly, and annual financial reports.
• Identify accounting discrepancies, investigate issues, and escalate matters requiring further review.
• Support the Senior Bookkeeper and accounting team with additional duties and special projects.
• Follow company accounting procedures, internal controls, and payment approval policies.
• Maintain strict confidentiality of sensitive company information, including payroll records, employee compensation, banking details, vendor information, and client financial data.

Required Qualifications

• 3–5 years of hands-on bookkeeping, accounts payable, or general accounting experience.
• Proficiency in QuickBooks Online.
• Strong Microsoft Excel skills, including formulas, PivotTables, VLOOKUP/XLOOKUP, sorting, filtering, and data reconciliation.
• Experience performing bank and credit card reconciliations.
• Experience processing vendor invoices, accounts payable, and electronic payments.
• Working knowledge of basic accounting principles and internal financial controls.
• Strong attention to detail and commitment to accuracy.
• Ability to investigate discrepancies and follow issues through resolution.
• Ability to manage multiple priorities, meet deadlines, and work independently.
• Strong written and verbal communication skills.
• Sound judgment and discretion when handling confidential financial information.

Preferred Qualifications

• Experience using Bill.com and Brex.
• Experience supporting month-end close and financial reporting.
• Associate’s or bachelor’s degree in accounting, finance, business administration, or a related field.

Pay Range

$75,000 - $95,000 USD

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.