Staff Accountant

Hightop Health

. Support day-to-day and period-end financial operations for Hightop Health and affiliated physician practice entities .

Posted 9/16/2026full-timeRemote • United StatesMid-LevelSenior💰 $75,000 - $85,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in financial operations, including general ledger accounting, accounts payable, and payroll processing, while effectively collaborating with various stakeholders in a multi-entity healthcare environment.

Highest-signal resume keywords

General Ledger AccountingAccounts Payable ManagementPayroll ProcessingVendor ManagementSage Intacct Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Journal EntriesFinancial ReconciliationCash Management1099 PreparationAccruals ManagementFixed Asset TrackingInvoice ValidationPayroll DeductionsTimecard ProcessingIntercompany Transfers

Soft Skills

Excellent Organizational Skills

Tools & Technologies

Microsoft ExcelRamp.comBill.comADPHRIS

Certifications & Qualifications

Bachelor’s Degree in Accounting

Industry Keywords

Physician PracticesProvider OrganizationsMulti-Entity EnvironmentsExternal AuditsHigh-Growth Environment

About the role

Key responsibilities & impact

Support day-to-day and period-end financial operations for Hightop Health and affiliated physician practice entities
Perform general ledger accounting, including preparing and posting journal entries
Create and maintain schedules for leases, accruals, prepaids, and fixed assets
Track assets across clinic locations with practice managers
Provide supporting schedules and backup to auditors or banks
Reconcile balance sheet balances, sub-ledgers, GL accounts, bank accounts, benefits deductions, and payroll-related accounts
Manage accounts payable processes, vendor setup, invoice validation, coding, approvals, and payment runs
Manage Ramp vendor payment platform and respond to vendor payment questions and disputes
Prepare and distribute 1099s at year end
Process bi-weekly payroll, including timecards, incentive payments, deductions, taxes, garnishments, absence, and PTO tracking
Support 401(k) match and payroll-related benefits or deductions
Enter daily cash transactions and support cash management, intercompany transfers, wire and ACH payments, and positive pay activities
Review monthly activities and reconciliations with the Sr. Associate and/or CFAO
Collaborate with Finance colleagues, practice managers, HR, auditors, banks, and other stakeholders

Requirements

What you’ll need

Bachelor’s degree in Accounting will be prioritized
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 Intacct or other common accounting systems
Previous payroll processing experience with ADP or other large HRIS/Payroll platforms
Demonstrated experience with accounts payable/receivable, general ledger reconciliations, journal entries, and payroll processing
Experience supporting external audits
Experience in a start-up or high-growth environment strongly preferred
Excellent organizational skills
Must be located in the Central Time Zone

Benefits

Comp & perks

401(k) matches
PTO tracking and employee absence benefits administration
Equal employment opportunity and inclusive work environment
Remote work arrangement