Staff Accountant - Clinical Practice Accounting

Role Summary

Prepare and record journal entries and perform account reconciliations to support the monthly, quarterly, and annual financial close process for assigned physician practices.

Maintain accounting records and supporting schedules for assigned practice balance sheet and income statement accounts while ensuring compliance with U.S. GAAP and company accounting policies.

Prepare monthly accounting and analysis for gross patient revenue , including contractual allowances, refunds, bad debt reserves, and other gross-to-net revenue adjustments.

Account for cost of goods sold , including cosmetic inventory, laboratory costs, pathology costs, and other direct patient care costs as applicable.

Record and analyze operating expenses, including payroll-related accruals, medical supplies, occupancy costs, vendor invoices, and other practice operating expenses.

Requirements

Prepare and reconcile key balance sheet accounts including

• Cash
• Accounts Receivable
• Allowance for Credit Losses
• Contractual Reserve
• Inventory
• Prepaids
• Accrued Expenses
• Accounts Payable
• Provider Compensation Accruals
• Patient Credit Balances
• Other practice-related assets and liabilities
• Perform monthly trend analyses of revenue, gross margin, operating expenses, and practice profitability; investigate significant fluctuations and recommend corrective actions.
• Collaborate with Practice Operations, Procurement, Payroll, FP&A, and Treasury to ensure accurate recording of financial activity and timely resolution of accounting issues.
• Assist with preparation of monthly financial packages and supporting schedules for physician practices.
• Assist with preparation of audit schedules and provide supporting documentation for internal and external audits.
• Identify opportunities to improve accounting processes, strengthen internal controls, standardize procedures, and increase the efficiency of the month-end close process.
• Participate in process improvement initiatives, system implementations, and other accounting projects as assigned.
• Perform other accounting and financial reporting duties as assigned.
• Bachelor's degree in Accounting required.
• 1–4 years of progressive accounting experience.
• Public accounting or corporate accounting experience preferred.
• Healthcare or multi-entity organization experience is a plus.
• Strong understanding of U.S. GAAP.
• Knowledge of month-end close and balance sheet reconciliations.
• Experience accounting for accounts receivable, accruals, inventory, and operating expenses.
• Strong analytical and problem-solving skills.
• Advanced Microsoft Excel skills, including PivotTables, XLOOKUP, and complex formulas.
• Experience with ERP and financial management systems (Netsuite and Workday Adaptive Analytics a plus)
• Experience in a multi-entity or multi-location healthcare environment.
• All your information will be kept confidential according to EEO guidelines.

Integrated Dermatology and it's entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
• Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. Our environment is built on collaboration, accountability, and operational excellence.

The Staff Accountant – Clinical Practice Accounting is responsible for supporting the accounting and financial reporting for a portfolio of physician practices. This position prepares journal entries, performs account reconciliations, analyzes financial results, and supports the monthly close process while ensuring accurate accounting for patient revenue, gross-to-net revenue adjustments, cost of goods sold, operating expenses, and related balance sheet accounts in accordance with U.S. GAAP and company accounting policies.

The Staff Accountant reports to the Accounting Manager – Clinical Practice Accounting and works closely with Revenue Cycle Management, FP&A, Operations, Procurement, Treasury, and Practice Leadership to ensure timely and accurate financial reporting.

About the Company

Reflections Dermatology & Psoriasis Center is seeking a Board-Certified or Board-Eligible Dermatologist to join our growing, physician-led practice serving patients throughout Central New York. This full-time opportunity offers the unique ability to split your schedule between our East Syracuse and Auburn offices, allowing you to build relationships across two thriving communities while enjoying an exceptional work-life balance.

As part of Integrated Dermatology , one of the nation's largest dermatology practice networks, Reflections Dermatology combines the resources, stability, and operational support of a nationally recognized organization with the autonomy and collaborative culture of a successful local practice. Physicians benefit from an established infrastructure that allows them to focus on delivering outstanding patient care while maintaining clinical independence.

Our team is dedicated to delivering comprehensive, patient-centered dermatologic care through a collaborative environment that combines medical excellence with innovation. We provide the full spectrum of medical, surgical, pediatric, cosmetic dermatology, and Mohs surgery , supported by state-of-the-art technology and an experienced team of physicians and advanced practice providers.

Why Join Reflections Dermatology?