Senior Accountant
EMS Management & Consultants • Remote • Full Time
Posted on Fri, Jul 17, 2026
Job Summary
The Senior Accountant is responsible for performing complex accounting processes, preparing and analyzing monthly balance sheet and income statement activity, and managing client billing, revenue recognition, and receivables in accordance with contractual requirements. This role applies advanced accounting principles to support the accurate closing and reporting of financial results and collaborates with internal and external stakeholders, including banking partners, auditors, and the Board of Directors, to ensure the integrity of financial information.
Major Responsibilities/Activities
· Client Receivables: Record cash receipts and manage account billing and receivables according to client contract, manage merchant accounting processes; maintain daily / monthly reconciliation of credit card payments accepted on behalf of patients within client accounts, allocate corporate costs to proper subsidiaries, administer client pricing updates and client billing arrangements in accordance with client contract terms through coordination with Operations and Sales associates.
· General Ledger Accounting: Prepare and analyze general ledger account reconciliations, maintain supporting schedules, research and resolve variances, prepare and post complex journal entries, and ensure the accuracy and integrity of balance sheet and income statement accounts in accordance with company accounting policies and GAAP.
Treasury Management: Process vendor ACH payments and support treasury activities by preparing and processing client disbursements during the month-end close process while ensuring appropriate approvals and controls.
· Client Independent Dispute Resolution (IDR): Manage the accounting aspects of the IDR payment process, including processing mediator payments, reconciling payments and refunds, and preparing reports to support accurate client billing.
· Financial Systems: Participate in the implementation, testing, maintenance, and enhancement of financial systems, including software upgrades, server migrations, and process improvement initiatives.
· Cross-Functional Collaboration: Partner with internal departments, clients, and external vendors to resolve accounting, billing, payment, and financial reporting matters while providing exceptional customer service.
· Financial Reporting & Analysis: Prepare monthly financial statements, reconcile bank accounts and subsidiary ledgers, analyze journal entries and account activity, investigate variances, perform budget-to-actual analyses, and maintain fixed asset accounting, including acquisitions, depreciation, and disposals.
· Internal Controls: Partner with operating departments to strengthen financial controls, improve accounting processes, and support sound budgetary and financial management practices.
· Perform other duties as assigned.
Contacts / Relationships
- Position requires frequent contact with individuals at all business levels inside the Company. This will require frequent telephone and/or personal contact throughout the Company regarding client receivables and to communicate finance-related information and analysis results. Contacts with client representatives and outside vendors are periodically required to discuss billing issues.
- Individual assigned to this position will have frequent access to confidential documents such as financial statements, client information, and banking information which are considered highly confidential and should be contained to the assigned department. Knowledge of the Company's products and services are confidential and should be contained to the Company.
Required Education, Skills & Experience
· Bachelor’s degree in Accounting, Finance, or related field; or comparable education and work experience.
· 4-7 years of progressive accounting experience.
· Experience using accounting/ERP systems, preferably Sage Intacct or QuickBooks Enterprise, including integrations with payroll, expense management (T&E), treasury, or other financial systems.
· Strong knowledge of Generally Accepted Accounting Principles (GAAP), general ledger accounting, chart of accounts structure, financial reporting, and account reconciliation.
· Working knowledge of payroll accounting and related accounting transactions.
· Strong analytical and problem-solving skills with the ability to identify discrepancies, research issues, and recommend solutions.
· Ability to work independently, manage multiple priorities, and consistently meet deadlines with minimal supervision.
· Advanced proficiency in Microsoft Excel, including PivotTables and data analysis tools, and proficiency with Microsoft Office applications.
· Excellent written and verbal communication skills with the ability to collaborate effectively across departments and with external stakeholders.
· Demonstrated ability to handle confidential financial and company information with discretion while maintaining the highest standards of integrity and professionalism.
· Proficiency in English is necessary for job-related communication, including understanding policies, writing correspondence, and engaging with colleagues or clients.
Work Environment / Physical Demand
- General office environment
- While performing the duties of this job, the employee is:
- Typing, sitting standing, some light lifting
- Abie to adjust focus to operate PC, as well as printer, copier, fax and phone
- Ability to work under time pressure and within prescribed departmental deadlines
Employees must be able to perform the essential functions of this position. Reasonable accommodations will be provided to qualified individuals with disabilities as needed to support their ability to perform these essential functions. If you require an accommodation for this position or to participate in the application process, please contact HR at humanresources@emsmc.com.
The responsibilities and duties outlined in this job description are not exhaustive and may be subject to change to meet the needs of the business. This job description is not an implied contract of employment and does not alter the at-will employment relationship.
There is no anticipated closing date for applications; The role will remain open until filled.
Applicants must be authorized to work in the United States now and in the future; this role does not offer current or future visa sponsorship.
AuditFriendly salary estimate
The employer did not post a salary for this role. Based on AuditFriendly's salary intelligence model (comparable live postings, role, seniority, and location), we estimate base pay of $82,000–$103,000 per year (median ~$91,000). This is an AuditFriendly estimate, not an employer-provided figure.
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