Finance Accounting Manager
OSSWF • Fort Myers, Florida • Full Time
Posted on Wed, Jun 3, 2026
About OSSWF:
Orthopedic Specialists of SW Florida has been a cornerstone of orthopedic care in the Fort Myers area for over 25 years. Our practice boasts a team of 19 fellowship-trained orthopedic surgeons specializing in various subspecialities. We are committed to excellence and continued growth, offering comprehensive services including onsite Physical Therapy/Occupational Therapy, MRI, and digital X-ray. We prioritize patient care and strive for the highest standards of service.
Orthopedic Specialists of SW Florida’s state-of-the-art, 60,000 square-foot facility incorporates the latest in leading-edge technology in order to provide optimal care for patients who have bone, joint, muscle and spine problems. Our office includes a full Physical Therapy and Occupational/Hand Therapy division, which work in close coordination with our physicians to provide non-operative, preoperative, post-operative and preventive care.
Job Description: The Finance & Accounting Manager oversees the day-to-day financial operations of an orthopedic group practice, including payroll, accounts payable, banking, reconciliations, general accounting, and financial reporting support. This role independently manages financial processes, resolves payroll and vendor issues, coordinates banking activities, and ensures accurate and compliant financial administration. The position requires strong analytical and decision-making skills, the ability to prioritize multiple responsibilities, and a high level of confidentiality, professionalism, and accountability when handling sensitive financial and payroll information. Essential Functions- Process and manage payroll, including employee and physician compensation, bonuses, deductions, and regulatory compliance.
- Administer accounts payable functions, including invoice processing, vendor payments, expense reconciliation, and vendor record maintenance.
- Maintain accurate accounting records through general ledger management, journal entries, account reconciliations, and financial close activities.
- Manage cash flow, banking operations, wire transfers, and payment prioritization to support business operations.
- Prepare financial reports, variance analyses, and support budgeting, forecasting, and management reporting.
- Ensure compliance with GAAP, tax regulations, internal policies, and audit requirements.
- Coordinate with HR, financial institutions, auditors, accountants, and tax advisors on payroll and financial matters.
- Develop and maintain internal controls, documentation, and efficient financial processes while independently resolving accounting, payroll, vendor, and banking issues.
- Support continuous improvement of accounting, payroll, and cash management systems and procedures.
- Associate’s or Bachelor’s degree in Accounting, Finance, Business Administration, or related field preferred; or a minimum of five (5) years of comparable professional experience in accounting, payroll, finance administration, or business operations
- Minimum of 3–5 years of progressively responsible experience in accounting, payroll, finance administration, or business operations
- Experience managing day-to-day financial operations, banking activities, accounts payable, payroll administration, and reconciliations
- Experience in healthcare or physician practice operations strongly preferred
- Strong understanding of physician compensation models is a plus
- Accounting software: Quick Books Online
- Payroll system: Paycor
- Advanced Excel proficiency required
- Work demands prolonged periods of sitting, walking, standing, bending, occasional walking up and down stairs, carrying cumbersome items such as: records, supplies (less than 15 pounds) working the equipment, and physical stress. (Work is 90-100% sitting and walking)
- Manual dexterity sufficient to operate keyboard, calculator and other office equipment as necessary
- Ability to view computer screens for long periods of time
- Computer, scanner, printer, calculator, photocopier, facsimile, phones.
- Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.
- The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not intended to be an exhaustive list of responsibilities, duties and skills required of persons so assigned.