Sr. Staff Accountant

POSITION OVERVIEW The Senior Staff Accountant is a senior member of the Finance & Accounting team at Texas Radiology Associates, LLP (TRA), a multi-site radiology physician practice. Reporting to the CEO and the Board of Directors while supporting the physician partners, this position owns the month-end and year-end close, maintains the general ledger on a cash basis, and serves as the primary liaison for external audits. The Senior Staff Accountant reviews the work of the Staff Accountant, oversees contract and client billing, supports payroll and physician partner accounting, and delivers accurate, timely financial statements and analysis to practice leadership and the Board of Directors. KEY DUTIES & RESPONSIBILITIES Own the month-end and year-end close process, including the close calendar, journal entries, accruals, and adjusting entries, ensuring the general ledger is maintained accurately on a cash basis. Prepare and review balance sheet and bank reconciliations (bank, credit card, prepaid, and internal accounts), resolving reconciling items and variances independently. Review and approve work prepared by the Staff Accountant, including journal entries, reconciliations, accounts payable batches, and client invoices; provide training, guidance, and day-to-day mentoring. Prepare monthly, quarterly, and annual financial statements and management reports, including variance and trend analysis, for practice leadership, physician partners, and the Board of Directors. Lead the quarterly cash-to-accrual (GAAP) conversion and serve as primary audit liaison for the quarterly and annual GAAP audits, preparing bridge workpapers and PBC schedules, responding to auditor requests, and resolving findings in coordination with the Controller. Oversee contract and client billing for hospital stipends, call coverage, and other contractual amounts due; maintain the contract billing schedule and ensure invoices agree to agreement terms. Monitor client receivables and cash management activities, including payment application, collections follow-up on past-due balances, and cash flow reporting. Support bi-weekly payroll and monthly partner distributions, including review of payroll journal entries, payroll tax filings and payments, benefit and 401(k) reconciliations, and coordination with HR on UKG Ready payroll data. Perform physician partner accounting, including distributions, capital accounts, and buy-in/buy-out transactions. Oversee accounts payable and independent contractor (1099) processing, including W-9 verification and year-end 1099 reporting. Assist leadership with annual budgets, forecasts, and financial performance metrics; track budget-to-actual results; Prepare schedules for tax and regulatory filings with external advisors. Design, document, and maintain internal controls and accounting policies and procedures; identify and implement process improvements and automation opportunities. Maintain organized, audit-ready records in compliance with confidentiality requirements (HIPAA), and lead special projects as assigned. EDUCATION & EXPERIENCE Bachelors degree in Accounting, Finance, or a related field required. Masters preferred. CPA designation preferred Minimum of eight (8) years of progressive accounting experience, including ownership of the month-end close. Experience in healthcare or physician practice, or other partnership-structured professional practice, including partner capital accounts and distributions, strongly preferred. Experience supporting external financial statement audits, including preparation of PBC schedules and audit workpapers. Prior experience reviewing the work of, training, or mentoring other accounting staff preferred. REQUIRED SKILLS & ABILITIES Strong knowledge of cash-basis and accrual (GAAP) accounting, including cash-to-accrual conversions. Advanced proficiency in Excel and financial software, including QuickBooks Online or similar accounting/ERP systems (required), and comfort with business intelligence/reporting tools; UKG Ready or similar payroll experience preferred. Familiarity with radiology billing, revenue cycle, and physician reimbursement a plus. Strong analytical and strategic thinking skills, with high attention to detail and accuracy. Excellent leadership and team management abilities, with the ability to manage multiple priorities and meet deadlines. Excellent communication and presentation abilities, including presenting financial reports to executive leadership and the Board of Directors. Strong integrity, discretion, and judgment in handling confidential information. PHYSICAL REQUIREMENTS Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this role. Prolonged periods of sitting and working on a computer. Ability to lift up to 15 pounds at times. Ability to work extended hours during month-end close, year-end close, budget season, and external audits. Occasional travel may be required.