Staff Accountant - Permian Basin Behavioral Health Center - Midland, TX

Signet Health is currently recruiting a Staff Accountant for a New, free-standing psychiatric hospital located at Permian Basin Behavioral Health Center in Midland, TX.

The Staff Accountant performs professional accounting duties including general ledger management, financial reporting, accounts payable/receivable reconciliation, payroll support, and month-end close processes. This position ensures compliance with GAAP, Texas regulations, DNV NIAHO®/ISO 9001 standards, CMS billing requirements, and internal hospital financial policies. The Staff Accountant collaborates with the CFO, Business Office, and Department Directors to ensure accurate financial statements, cost controls, and support for operational decision-making. 

PRIMARY RESPONSIBILITIES 

General Ledger & Month-End Close 

• Maintain the general ledger, ensuring accuracy and completeness. 
• Prepare and post journal entries (accruals, adjustments, prepaids, depreciation).
• Reconcile accounts monthly, including: 
  • Cash 
  • Patient AR 
  • AP 
  • Payroll liabilities 
  • Fixed assets 
  • Insurance receivables
• Support month-end close and assist CFO in preparing financial packages.

Financial Reporting & Analysis

• Prepare monthly, quarterly, and annual financial reports. 
• Assist in developing departmental and hospital-wide budgets. 
• Analyze variances in revenue, expenses, and productivity. 
• Provide financial data to support operational and strategic planning. 

Accounts Payable& Purchasing Support 

• Process and code invoices according to chart of accounts. 
• Verify proper approvals and ensure compliance with purchasing policy. 
• Manage vendor statements and maintain positive vendor relationships. 
• Assist with preparation of annual 1099 filings. 

Accounts Receivable & Revenue Cycle Coordination

• Work with the Business Office to reconcile patient billing and cash posting. 
• Track payer reimbursements and identify variances. 
• Support denial management and revenue cycle audits. 
• Assist CFO in reviewing contractual allowances and net revenue adjustments. 

Payroll & Employee Compensation Support

• Review and reconcile payroll reports for accuracy. 
• Assist with payroll journal entries and accruals. 
• Reconcile payroll liabilities (benefits, taxes, retirement contributions). 
• Support HR in addressing payroll discrepancies. 

Compliance, Audit & Regulatory Requirements

• Ensure adherence to: 
  • DNV NIAHO®/ISO 9001 quality management standards 
  • GAAP 
  • Texas Administrative Code for healthcare financial practices 
  • CMS cost reporting and billing requirements 
  • HIPAA confidentiality when handling payroll or patient-related financial data 
  • Internal hospital policies and annual audit requirements
• Assist with internal and external audits.
• Document and maintain accounting procedures and internal controls.

Cost Control & Financial Operations Support

• Monitor expenses against budget and identify cost-saving opportunities. 
• Assist department leaders with financial questions and reporting needs. 
• Track capital expenditures and fixed asset schedules. 
• Support supply chain analytics and purchasing compliance. 

Cash Management & Banking

• Reconcile bank accounts and prepare cash flow analyses. 
• Assist CFO with treasury management and daily cash position monitoring. 
• Support deposit verification and cash ledger accuracy. 

Required 

• Bachelor’s degree in Accounting, Finance, or related field. 
• Minimum 2–3 years accounting experience. 
• Strong understanding of GAAP. 
• Experience with accounting systems/software and Excel. 
• High attention to detail, accuracy, and confidentiality. 

Preferred 

• Experience in healthcare or behavioral health accounting. 
• Knowledge of DNV accreditation or ISO 9001 quality principles. 
• Familiarity with hospital revenue cycle, payers, and reimbursement. 
• Experience with ERP systems (e.g., QuickBooks, Sage, NetSuite, Oracle, or hospital-specific software). 
• Prior experience assisting with audits.

CORE COMPETENCIES

• Analytical and financial reasoning 
• Accuracy and attention to detail 
• Time management and organization 
• Communication skills 
• Problem-solving and critical thinking 
• Understanding of hospital operations and financial workflows 
• Confidentiality and ethical behavior 
• Ability to work independently and collaboratively 

PHYSICAL & WORK ENVIRONMENT 

• Office-based; frequent computer work. 
• Ability to sit for prolonged periods. 
• Occasional lifting of file boxes (<20 lbs). 
• Must maintain confidentiality for patient, payroll, and financial information. 

ADDITIONAL DUTIES 

• Assist CFO with forecasting and budget development. 
• Support cost reporting (e.g., Medicare/Medicaid). 
• Participate in DNV audits and quality improvement activities. 
• Other duties as assigned by CFO or Administration.