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Job DetailsLevel: ExperiencedJob Location: Billings, MT 59101Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $29.00 - $34.83 HourlyTravel Percentage: NoneJob Shift: DayJob Category: FinancePosition Title: Staff Accountant Supervisor: Senior Director of Operations and Finance Supervises: None Who We Are We are dedicated to delivering convenient, cost-effective, and high-quality surgical and pain procedure care. Every team member plays a vital role in creating a safe, compassionate, and efficient environment for our patients. Core Values Confidentiality • Quality • Teamwork • Trust • Respect Position Overview The Staff Accountant supports the financial integrity and day-to-day accounting operations of Yellowstone Surgery Center. This position performs financial reporting, general ledger accounting, account reconciliations, payroll processing, budgeting support, audit preparation, and compliance-related activities. Working under the direction of the Senior Director of Operations and Finance, the Accountant prepares timely and accurate financial information, maintains organized records, identifies discrepancies and process improvements, and collaborates with leaders and departments to support sound financial decision-making. Duties and Responsibilities: Financial Reporting & General Accounting Prepare, analyze, and interpret monthly, quarterly, and annual financial statements and reports in accordance with Generally Accepted Accounting Principles (GAAP) and organizational policies Perform general ledger accounting, including journal entries, account analysis, accruals, and review of supporting documentation Complete assigned month-end and year-end close activities accurately and within established deadlines Generate financial reports using accounting, payroll, and patient account systems and provide supporting detail as requested Review financial activity for completeness and accuracy; research and resolve discrepancies and communicate significant concerns to the Senior Director of Operations and Finance Prepare financial information and supporting schedules for leadership and governing board review, subject to Senior Director of Operations and Finance approval Reconciliations & Financial Operations Prepare bank, balance sheet, general ledger, payroll, and other account reconciliations; investigate and resolve reconciling items Review and reconcile company credit card activity, ensuring transactions are properly authorized, documented, coded, and recorded Verify the validity and accuracy of accounting source documents and maintain organized supporting records Maintain financial records and provide accounting support for designated affiliated or partner entities, including AMP, as assigned Coordinate with the Accounts Payable Specialist and other departments to support accurate coding, documentation, payment processing, and financial reporting while maintaining appropriate separation of duties Payroll & Retirement Plan Support Process payroll and complete payroll review procedures to support timely, accurate, and compliant employee compensation Maintain accurate payroll records and protect confidential employee information Reconcile payroll activity to the general ledger and bank statements and resolve identified differences Prepare and review 401(k) reports and supporting documentation Assist with annual retirement plan audits, testing, and related information requests Budgeting, Capital & Inventory Support Assist the Senior Director of Operations and Finance with development of the annual operating budget, forecasts, and financial planning activities Monitor budget-to-actual results, research significant variances, and prepare supporting reports for Senior Director of Operations and Finance review Collaborate with department leaders to gather capital equipment requests and supporting information for budget planning Track approved capital purchases and prepare status updates for leadership and governing board review Complete annual inventory reconciliation and related reporting activities Audit, Compliance & Internal Controls Ensure ongoing compliance with federal and state accounting and procurement standards Prepare schedules, reconciliations, source documents, and other information requested for annual financial audits Coordinate assigned audit documentation and respond to auditor questions in collaboration with the Senior Director of Operations and Finance Follow established internal controls and financial procedures designed to safeguard organizational assets and reduce the risk of fraud, waste, and abuse Identify control gaps, unusual transactions, or opportunities for process improvement and promptly communicate recommendations to the Senior Director of Operations and Finance Support HIPAA audit activities and other compliance reviews as assigned Stay current on relevant accounting standards, financial regulations, organizational policies, and industry best practices Confidentiality & Professional Accountability Protect sensitive financial, employee, and patient information with the highest level of confidentiality Exercise sound judgment when handling confidential records and financial data Maintain ethical accounting practices and professional standards Demonstrate accountability, integrity, and commitment to continuous improvement Organization & Flexibility Serve as a knowledgeable resource regarding assigned financial processes, records, and reporting Participate in onboarding, orientation, and training of new team members Collaborate with leaders and departments to support organizational goals, accurate financial information, and timely resolution of accounting questions Participate in organizational meetings and committees as assigned Prioritize responsibilities to meet critical deadlines and organizational objectives Adapt to changing priorities and support special projects as needed Demonstrate initiative and independent judgment while managing multiple complex responsibilities Perform other duties as assigned Physical Requirements: While performing the duties of this job, the employee is regularly required to stand; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is frequently required to walk. The employee is occasionally required to sit, climb, balance, stoop, or crawl. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus. Normal hospital environment with exposure to chemical odors, cleaning solvents, and other hazardous materials Exposure to possible injury when working with electrical equipment and lasers, which requires care and following proper safety procedures Sedentary Primarily sitting/lifting 10 lbs maximum Light X Lifting 20 lbs maximum with frequent lifting/carrying up to 10 lbs Medium Lifting 50 lbs maximum with frequent lifting/carrying up to 20 lbs Heavy Lifting 100 lbs maximum with frequent lifting/carrying up to 50 lbs Very Heavy Lifting over 100 lbs with frequent lifting/carrying up to 50 lbs Bloodborne Pathogens: Based on the OSHA guidelines for protection against occupational exposure to Hepatitis and HIV, this position is described as Category I. This means the position has exposure to blood and other body fluids. Policies are in place for Universal Precautions, exposure risk identification, and appropriate barrier protection. The above is intended to describe the general contract and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. QualificationsEducation, Experience, licensure/certification requirements: Bachelor’s degree in Accounting or a related field required Certified Public Accountant (CPA) designation preferred Minimum of one year of accounting, finance, or data analytics experience, preferably in a healthcare environment Advanced proficiency with Microsoft Office applications, accounting software, and financial databases Strong analytical, organizational, and problem-solving skills with the ability to interpret complex financial data
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