Staff Accountant

St. Josephs Medical Center • Houston, TX • Full Time

Posted on Thu, Oct 15, 2026

JOB SUMMARY:

Under general supervision, applies principles of accounting, record keeping, and analysis to maintain Hospital general accounting systems and financial reporting.

· Prepares journal entries in conjunction with the monthly close process and external audits.

· Works with the Central Business Office in the area of daily cash posting and daily cash balancing report.

· Performs monthly balancing of bank accounts.

· Monitors and analyzes routine and non-complex general ledger accounts.

· Prepares balance sheet account reconciliations as assigned.

· Maintains communication with hospital and System Office personnel.

· Performs various analysis and special projects as directed.

· Non patient AR billing

· Contract analysis

· Coordinate Physician payments

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Consistently supports and communicates the Mission, Vision and Values of St. Joseph Medical Center.

2. Follows the St. Joseph Medical Center Guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).

3. Promotes a culture of safety for patients and employees through proper identification, proper reporting, documentation and prevention of medical errors in a non-punitive environment.

4. Performs analysis of general ledger accounts. Reviews entries and compares balances as to reasonableness, and interprets trends or deviations from expected results.

5. Prepares monthly journal entries for accounts by ensuring all account activity is recorded and necessary adjustments are calculated and corrections are made.

6. Analyzes the trend reports for significant fluctuations and is able to discuss these variance explanations for general ledger accounts as assigned.

7. Maintains contact with various Hospital personnel and management and responds to management inquiries and recommends procedures to address issues or concerns.

8. Assists in the preparation of budget & audit schedules for external and internal audit.

9. Performs work on special projects and demonstrates the application of appropriate accounting theory and GAAP.

10. Performs other tasks and special projects as assigned.

11. File and remit the Hospital's Monthly Sales Tax return electronically.

12. Supportive of the compliance program set forth by IASIS and demonstrated by:

a. Upholds the Code of Ethics and Corporate Compliance.

b. Adheres to and helps to enforce all compliance policies relevant to his/her area.

c. Assures timely compliance education as requested by the Regional Compliance & Safety Officer and/or through corporate initiatives.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

Work Experience:

· Two years in Accounting with Hospital/Healthcare experience preferred.

License/Registration/Certification:

· N/A

Education & Training:

· Bachelor's degree in Finance, Accounting, Business or other related field is required.

Skills:

· Technical, critical thinking and interpersonal skills relevant to area in order to effectively communicate with physicians, health team members, patients and families.

· Ability to prioritize work with minimal supervision, in order to independently carry out the duties of the position.

· Able to communicate effectively, both verbally and in writing.

· Computer literate in Microsoft software and products.

Houston's oldest hospital is GROWING!

Welcome to St. Joseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most.

Whether it's for a scheduled surgery, the birth of a baby, an unexpected emergency, or an outpatient visit, we have staff available around the clock to provide you access to immediate, quality health care. SJMC has been providing health care services to Greater Houston residents for over 130 years, which should give you great comfort in knowing that we have a great tradition of caring for our community. We strive to meet our patients' expectations and encourage our patients to provide us with feedback on how we can help them have the best experience possible while they're in our care.

Over the last years we have expanded our services to include the Advanced Wound Care Center, Comprehensive Cardiac and Vascular Services, the Women's Center, the St. Joseph Maternal Fetal Medicine Center, and a Weight Loss Surgery Program, just to name a few. As you work with our physicians, nurses, case managers, educators, and other staff, you will be guided through your health care journey, from diagnosis to treatment, with compassion every step of the way.

Diversity, equity, inclusion, and belonging are at the foundation of the care St Joseph Medical Center provides to our community we are privileged to support in all of our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or expression or any other non-job-related characteristic.

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 $60,000–$80,000 per year (median ~$73,000). This is an AuditFriendly estimate, not an employer-provided figure.

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