Staff Accountant

Summary

Hightop Health is an outpatient mental health group providing evidence-based, integrative psychiatric care through clinician-centered practices. The Staff Accountant supports daily and period-end financial operations across the company and affiliated physician practice entities, including general ledger accounting, accounts payable, payroll-related accounting, cash management, reconciliations, and audit support.

Responsibilities

• Perform routine general ledger accounting activities for the company’s corporate entity and all associated provider practices, including but not limited to: + Prepare and post journal entries. + Create and maintain schedules to support the entries and ledger balances for items such as operating and capital leases, accruals, prepaids, and fixed assets, ensuring accuracy, completeness, and timeliness. + Assist with asset tracking across clinic locations in collaboration with practice managers, ensuring accurate tracking and accounting of balances
• Provide any supporting schedules and backup to auditors or banks as requested
• Ensure deadlines are met and balance sheet balances are reconciled to supporting schedules monthly
• Review monthly activities and reconciliations with the Sr. Associate and/or CFAO, with any variances resolved and/or explained
• Perform all accounts payable processes which include but may not be limited to: + Ensure all vendor invoices are validated to associated contractual terms, approved in accordance with company policies, entered timely, and coded to the correct accounting period and GL accounts. + Manage the company’s external vendor payment platform (Ramp) including all vendor setup and maintenance, invoice approval rules, maintain payment accounts, and perform all invoice entry and coding. + Prepare weekly or bi-weekly payables runs for review with the Sr. Associate and/or CFAO. + Oversee and ensure proper documentation and approvals on expenses paid on company credit cards, reconcile balances monthly. + Reconcile sub-ledger balances to GL and external vendor payment platforms monthly. + Manage creation and distribution of 1099s at year end. + Serve as the internal contact for vendor payment questions and primary financial contact for vendors to respond to questions, resolve disputes, and negotiate/update terms
• Work with the Sr. Associate to perform all bi-weekly payroll processing activities for a growing employee base that comprised of hourly and salaried employees including timecard administration, incentive payment calculations and administration, statutory and benefit deductions, state/local/federal tax issues, garnishments, employee absence and PTO tracking, etc
• Support processing and reconciliation of 401(k) matches and other payroll-related benefits or deductions
• Prepare appropriate documentation and reconciliations for payroll-related GL accounts
• Reconcile benefits deductions to vendor invoices monthly
• Ensure timely and accurate entry of daily cash transactions
• Perform monthly bank reconciliations and ensure tie outs between sub-ledger and GL balances
• Support other cash management activities (e.g., monitoring bank balances between entities and processing intercompany transfers, preparing wire and ACH payments, managing positive pay activities)

Skills

• • Technical Accounting & Financial Acumen: Demonstrates solid understanding of GAAP, core accounting principles, and financial reporting concepts
• • Attention to Detail & Accuracy: Produces very high-quality work with strong accuracy in supporting schedules, reconciliations, and journal entries
• • Organization & Time Management: Must be self-directed and able to balance multiple competing deadlines, especially during month-end and year-end close, while maintaining high-quality work output. Must be willing to put in occasional extra time to meet deadlines when/if needed
• • Analytical Thinking & Problem-Solving: Critical thinking skills are essential and must be able to effectively analyze data, identify variances, and help explain and resolve questions or issues
• • Initiative: Takes ownership of tasks, proactively identifies needs and suggestions for potential solutions or process improvement opportunities
• • Collaboration & Teamwork: Works effectively with Finance colleagues, practice managers, HR, and other stakeholders; communicates respectfully and constructively
• • Communication (Written & Verbal): Communicates financial information clearly and professionally to all levels of the organization and external parties
• • Integrity & Confidentiality: Handles sensitive financial data with discretion and maintains high ethical standards
• • Adaptability & Entrepreneurial Mindset: Thrives in a start-up or high-growth environment (enjoys change); readily adjusts to evolving processes, systems, and priorities
• • May consider other equivalent education/work experience
• • Minimum of three (3) years of relevant accounting experience required; experience in physician practices or provider organizations and multi-entity environments strongly preferred
• • Proficient in Microsoft Excel
• • Vendor management and invoice processing in Ramp.com or Bill.com
• • Proficient in all core accounting modules of Sage Intaact or other common accounting systems
• • Previous payroll processing experience with ADP or other large HRIS/Payroll platforms
• • Demonstrated experience performing core accounting activities including accounts payable/receivable, general ledger reconciliations, journal entries, and payroll processing
• • Experience supporting external audits
• • Excellent organizational skills, with the ability to prioritize and complete tasks quickly and efficiently
• • Bachelor's degree in Accounting will be prioritized
• • Minimum of three (3) years of relevant accounting experience required; experience in physician practices or provider organizations and multi-entity environments strongly preferred
• • Experience in a start-up or high-growth environment and comfort operating with evolving processes and priorities strongly preferred

Qualifications

Must Haves

• • Technical Accounting & Financial Acumen: Demonstrates solid understanding of GAAP, core accounting principles, and financial reporting concepts
• • Attention to Detail & Accuracy: Produces very high-quality work with strong accuracy in supporting schedules, reconciliations, and journal entries
• • Organization & Time Management: Must be self-directed and able to balance multiple competing deadlines, especially during month-end and year-end close, while maintaining high-quality work output. Must be willing to put in occasional extra time to meet deadlines when/if needed
• • Analytical Thinking & Problem-Solving: Critical thinking skills are essential and must be able to effectively analyze data, identify variances, and help explain and resolve questions or issues
• • Initiative: Takes ownership of tasks, proactively identifies needs and suggestions for potential solutions or process improvement opportunities
• • Collaboration & Teamwork: Works effectively with Finance colleagues, practice managers, HR, and other stakeholders; communicates respectfully and constructively
• • Communication (Written & Verbal): Communicates financial information clearly and professionally to all levels of the organization and external parties
• • Integrity & Confidentiality: Handles sensitive financial data with discretion and maintains high ethical standards
• • Adaptability & Entrepreneurial Mindset: Thrives in a start-up or high-growth environment (enjoys change); readily adjusts to evolving processes, systems, and priorities
• • May consider other equivalent education/work experience
• • Minimum of three (3) years of relevant accounting experience required; experience in physician practices or provider organizations and multi-entity environments strongly preferred
• • Proficient in Microsoft Excel
• • Vendor management and invoice processing in Ramp.com or Bill.com
• • Proficient in all core accounting modules of Sage Intaact or other common accounting systems
• • Previous payroll processing experience with ADP or other large HRIS/Payroll platforms
• • Demonstrated experience performing core accounting activities including accounts payable/receivable, general ledger reconciliations, journal entries, and payroll processing
• • Experience supporting external audits
• • Excellent organizational skills, with the ability to prioritize and complete tasks quickly and efficiently

Nice to Haves

• • Bachelor's degree in Accounting will be prioritized
• • Minimum of three (3) years of relevant accounting experience required; experience in physician practices or provider organizations and multi-entity environments strongly preferred
• • Experience in a start-up or high-growth environment and comfort operating with evolving processes and priorities strongly preferred

Benefits

• 401(k) matches
• Incentive payments