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Estimated Pay info$36 per hour
Hours Full-time
Location Kingston, New York

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Job Description

Job Description
Senior Accountant
Job Type: Temporary (3 months)
Pay Rate: $30-35/hour
Location: Kingston, NY | On-site (Monday-Friday, standard business hours)

Job Overview
Madison Approach Staffing is recruiting for a Senior Accountant to join our client's Finance Department. Our client is a large healthcare organization seeking an experienced accounting professional to maintain books and records with limited supervision in accordance with Generally Accepted Accounting Principles (GAAP). This role is responsible for preparing monthly financial statements from statistical and financial data, reconciliations, supporting schedules, and reports for the organization and related subsidiaries. The ideal candidate will manage month-end close processes, assist with internal and external reporting, support annual budgets and tax returns, and maintain accurate general ledger and balance sheet audit worksheets. This is a 3-month temporary assignment.

Key Responsibilities
  • Prepare and review analysis of multiple monthly and annual financial statements; participate in month-end financial close review meetings within preset timeframes
  • Maintain accurate and timely general ledger and balance sheet audit worksheets ensuring compliance with GAAP standards
  • Book monthly journal entries, both recurring and non-routine, including accruals and prepaid expense analysis
  • Assist in internal and external reporting including financial surveys, IRS forms, pools, and cash receipts assessments
  • Assist in annual budget preparation as needed
  • Compile supporting schedules for annual tax returns including Form 990s, 1120s, and CHAR500s; ensure timely compliance and filing
  • Assist with outside audit firms and provide documentation including year-end financial statement audits, pension audits, A-133 grant audits, and Worker's Compensation audits
  • Analyze monthly expense and FTE budget variances and prepare variance explanations
  • Monitor capital leases and all debt obligations of the facility; reconcile related long-term and short-term liability accounts
  • Prepare and update monthly schedule of Property, Plant and Equipment acquisitions and disposals with estimated depreciation calculations
  • Maintain effective communications between hospital departments to ensure Finance-related issues are addressed promptly
  • Reconcile cash receipts and disbursements daily requiring verification to General Ledger and bank support documentation
  • Prepare weekly cash disbursement outflow reports for cash reporting and forecasting purposes
  • Perform other accounting and finance duties as assigned by management
Required Skills & Experience
  • Education: Bachelor's degree in Accounting required
  • Experience: 3-5 years of accounting experience; healthcare setting preferred but not required
  • GAAP Knowledge: Strong understanding of Generally Accepted Accounting Principles and financial reporting standards
  • Financial Analysis: Strong financial analysis skills with ability to interpret complex financial data and prepare variance analyses
  • Computer Proficiency: Complex computer skills required including:
    • Microsoft Excel (advanced functions including pivot tables, VLOOKUP, complex formulas)
    • Microsoft Word for professional documentation
    • Microsoft PowerPoint for presentations
    • Microsoft Access for database management
    • Microsoft Outlook for communication and calendar management
    • Power BI for data visualization and reporting
  • Multi-tasking: Ability to prioritize multiple projects and meet strict deadlines in fast-paced environment
  • Organization: Excellent organizational skills with strong attention to detail and accuracy
  • Communication: Excellent written and verbal communication skills for cross-department collaboration
Preferred Skills & Experience
  • Experience with Veradigm (formally known as Allscripts/McKesson) healthcare financial system
  • Experience with Strata healthcare decision support system
  • Think-Cell PowerPoint software proficiency for creating financial presentations
  • Prior experience in hospital or healthcare organization accounting
  • Experience with consolidated financial reporting
  • Knowledge of healthcare-specific regulations and reporting requirements
  • Experience with tax return preparation for nonprofit organizations (Form 990, CHAR500)
  • Familiarity with A-133 grant audits and Single Audit requirements
  • Experience with capital lease accounting and debt covenant compliance
  • Experience with fixed asset accounting and depreciation schedules
  • Understanding of pension audit requirements and compliance
Work Schedule & Details
  • Full-time position: Monday through Friday, standard business hours
  • On-site position in Kingston, NY
  • Temporary assignment: 3 months
  • Sedentary work environment involving sitting most of the time with occasional walking and standing
  • Requires lifting no more than 10 pounds and occasionally carrying light objects
  • Collaborative finance department environment with exposure to hospital operations
  • Participation in month-end close processes with specific deadline requirements
To Apply: Please submit your resume to Madison Approach Staffing. Only qualified candidates will be contacted for interview consideration.

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Posting ID: 1224308729 Posted: 2026-02-16 Job Title: Senior Accountant