Accountant I - LTC Financial Support at Cherokee Indian Hospital Authority – Cherokee, North Carolina

Job Title: Accountant I – LTC Financial Support

Job Code: AILTC

Department: Accounting

Division: Finance

Salary Level: Exempt 2

Report To: Controller

Last Revised: March 2026

Primary Function

The Accountant I – Tsali Care performs daily accounting and administrative support functions specific to the long-term care (LTC) facility. This role supports financial operations including revenue monitoring, census and payor mix analysis, accounts payable processing, payroll coordination, and cost report documentation preparation. The position serves as a key liaison between accounting and facility operations to ensure accurate financial reporting and compliance with regulatory requirements.

Job Description

• Prepare month end accrual and prepaid entries as assigned.
• Provide support for budget monitoring and respond to budget-related inquiries to assist operational decision-making.
• Monitor and analyze daily census activity and payer mix to ensure accurate revenue recognition and revenue targets are met.
• Process and manage accounts payable for Tsali Care, including invoice entry, tracking, and timely payment.
• Assist with payroll-related inquiries, run scheduling and labor reports, and monitor overtime for accuracy and compliance.
• Prepare and provide required reports to support the Tsali Care cost report process.
• Ensures financial internal controls are being followed in accordance with CIHA’s policies and procedures.
• Participate in special projects, audits, and financial analysis assignments as directed.
• Maintain organized and complete accounting files and documentation.
• Support month-end and year-end closing processes.
• Performs all duties according to established safety guidelines and CIHA policies.
• Performs other duties as required by supervisor.

Education/Experience

• Bachelor of Science degree in Accounting.
• Three (3) months are typically required to become proficient in most phases of the position.
• Must demonstrate ability to prepare accurate journal entries and utilize Microsoft Excel for analysis and reporting.
• Experience in accrual accounting preferred.

Job Knowledge

• Proficient in Microsoft Office applications including Excel, Outlook, and Word.
• Ability to maintain accurate and organized records.
• Knowledge of Generally Accepted Accounting Principles (GAAP) and Governmental Accounting Standards Board (GASB) requirements.
• Demonstrated technical accounting knowledge and analytical skills.
• Ability to work independently and as a collaborative team member.
• Strong communication, organizational, and problem-solving abilities.
• Ability to manage multiple priorities and meet deadlines with accuracy and attention to detail.

Contact with Others

Has frequent contact with Controller, coworkers and CIHA leaders, with occasional contacts with bank representatives and accounting personnel in various federal agencies. Nature of contacts requires tact, courtesy and professional etiquette to maintain positive working relationships.

Confidential Data

Has access to CIHA’s financial reports, CIHA’s financial status, grants, employee wages and other related financial information, which should remain confidential. Must adhere to all CIHA confidentiality policies and procedures.

Responsibility for Accuracy

Must perform complex mathematical computations, which are usually verified through the accounting system. Undetected errors could require time for research; results could range from minimal to extensive in scope. Work is generally reviewed by others for accuracy and compliance with regulations and procedures.

Mental/Visual/Physical Effort

Close concentration and attention to detail are required while performing all bookkeeping procedures. Is subject to frequent interruptions requiring varied responses. Must have physical mobility, reaching with arms and hands, manual dexterity and visual acuity. Must be able to speak and hear effectively. May occasionally lift more than 15 pounds.

Resourcefulness and Initiative

Works within well-defined procedures and guidelines. Uses judgment and initiative to maintain accuracy, respond appropriately to questions and establish work priorities.

Environment

Works in a normal business office in performance of job duties.

Customer Service

Consistently demonstrates superior customer service skills to patients/customers by demonstrating characteristics that align with CIHA’s guiding principles and core values. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.