Bookkeeper / Healthcare Accounting Specialist in Utica, New York at Total Rehab LLC

Omni Surgery Center, a AAAHC-accredited ambulatory surgery center, and Omni Pain & Precision Medicine, a multi-site interventional pain management practice, are seeking a detail-oriented and experienced Bookkeeper / Healthcare Accounting Specialist. This role supports the financial operations of both entities, ensuring accurate bookkeeping, regulatory compliance, and timely financial reporting in a healthcare-regulated environment.

The ideal candidate has prior experience in medical practice accounting, understands ASC and professional fee structures, and is comfortable working with multiple legal entities, cost centers, and payer-driven revenue streams.

• Maintain general ledgers for multiple related healthcare entities
• Post and reconcile daily financial transactions
• Manage accounts payable and accounts receivable
• Perform monthly bank, credit card, and merchant account reconciliations
• Prepare and track intercompany transactions and allocations
• Maintain fixed asset and depreciation schedules

• Reconcile deposits against billing and collections reports (ASC facility fees and professional fees)
• Coordinate with billing companies and revenue-cycle vendors
• Track insurance payments, patient payments, and adjustments
• Assist with tracking payer mix, write-offs, and contractual adjustments
• Support preparation of financial data for audits, AAAHC surveys, and compliance reviews

• Support payroll processing and payroll reconciliations
• Track employee reimbursements, stipends, and expense reports
• Monitor benefits, taxes, and withholdings in coordination with payroll vendors

• Generate monthly financial statements (P&L, balance sheet, cash flow)
• Assist with budgeting, forecasting, and variance analysis
• Support year-end close and coordination with CPAs and tax advisors
• Ensure documentation and processes align with healthcare compliance requirements

• Professional healthcare setting
• Collaborative administrative and clinical leadership team
• Emphasis on accuracy, compliance, and operational excellence

• 3+ years of bookkeeping or accounting experience
• Associate’s or bachelor’s degree in accounting, Finance, or related field
• Strong understanding of GAAP principles
• Proficiency with accounting software (QuickBooks or similar)
• High attention to detail and strong organizational skills
• Ability to manage confidential financial and patient-adjacent information
• Experience handling multiple entities or locations

• Experience with ambulatory surgery centers (ASC)
• Prior experience in healthcare, medical practice, or ASC environments
• Familiarity with medical billing workflows and revenue cycle management
• Experience coordinating with external billing and payroll vendors
• Experience supporting audits or accreditation surveys (AAAHC, CMS)