Position Overview: We are seeking a highly skilled and detail-oriented Accounting & Accounts Receivable Specialist to take full ownership of our accounting function within a growing pediatric healthcare practice. This is a hands-on role responsible for managing the general ledger, P&L, balance sheet, bank reconciliations, and QuickBooks Online (QBO), while also overseeing critical accounts receivable functions, including insurance payment posting, remittance processing, and credit balance management. The ideal candidate is a strong accountant first, with proven experience maintaining accurate financials and producing reliable reports, along with a working knowledge of healthcare AR processes. This role partners closely with the President and Executive Director of Business Operations and plays a key role in ensuring financial accuracy, improving processes, and supporting strategic decision-making. Employment Type: * Full-Time (40 hours/week). * Hybrid flexibility available based on experience and performance. Key Responsibilities: Accounting (Primary Focus – Full Ownership): * Maintain full responsibility for general ledger accounting in QuickBooks Online (QBO). * Prepare and analyze monthly, quarterly, and annual financial statements (P&L, Balance Sheet). * Perform monthly bank and account reconciliations. * Ensure accuracy, completeness, and timeliness of all financial data. * Support budgeting, forecasting, and variance analysis. * Maintain strong internal controls and compliance with financial policies. Accounts Receivable & Revenue Cycle: * Post insurance and patient payments (ERAs/EOBs) accurately and efficiently. * Reconcile payments and investigate discrepancies. * Manage and resolve credit balances and overpayments. * Assist with monitoring AR aging and revenue cycle performance. * Ensure adherence to payer guidelines and billing accuracy. Operations & Process Improvement: * Identify and implement process improvements across accounting and AR workflows. * Optimize use of QuickBooks Online and internal systems. * Support purchasing and expense tracking as needed. * Collaborate with leadership to improve financial visibility and operational efficiency. * Highly organized with ability to manage multiple priorities * Process-driven with continuous improvement mindset * Excellent communication and collaboration skills * High integrity and confidentiality. Required Qualifications: * Highly organized with ability to manage multiple priorities. * Process-driven with continuous improvement mindset. * Excellent communication and collaboration skills. * High integrity and confidentiality. * 3+ years of full-cycle accounting experience (general ledger, P&L, balance sheet). * Strong expertise in QuickBooks Online (QBO). * Proven experience with: * Bank and account reconciliations. * Financial reporting and analysis. * Experience with accounts receivable and payment posting. * Advanced proficiency in Excel. * Strong attention to detail and analytical skills. Preferred: * Experience in a healthcare, medical, or therapy practice. * Knowledge of: * Insurance payment posting (ERA/EOB). * Credit balance management. * Revenue cycle workflows. * Experience working in a small to mid-sized organization with full ownership of accounting. Core Competencies: * Strong accounting foundation and financial accuracy. * Highly organized with ability to manage multiple priorities. * Process-driven with continuous improvement mindset. * Excellent communication and collaboration skills. * High integrity and confidentiality. Why Join Us? * Mission-driven organization serving children and families. * Collaborative leadership team with direct impact on decisions. * Growth potential as the organization expands. * Stable, purpose-driven healthcare environment. Please visit our website at www.childandfamilydevelopment.com and our social media pages for additional information about the company.