Staff accountant

The Staff Accountant supports the day-to-day and period-end financial operations of Hightop Health and its affiliated physician practice entities. This role is responsible for core accounting activities including accounts payable, cash management, general ledger accounting, bank and financial reconciliations, and audit support.

The Staff Accountant will work closely with the Sr. Associate and CFAO as well as many cross-functional teams to ensure the accurate and timely creation and entry of financial transactions across multiple entities. This role is best suited for an individual who is detail-oriented, highly organized, self-directed, and comfortable operating in a fast-paced entrepreneurial environment.

All duties must be performed in alignment with Hightop Health’s mission, values, policies and procedures, and applicable laws and regulations.

Primary Objectives and Essential Duties:

Core Accounting

Perform routine general ledger accounting activities for the company’s corporate entity and all associated provider practices, including but not limited to:

• Prepare and post journal entries.
• Create and maintain schedules to support the entries and ledger balances for items such as operating and capital leases, accruals, prepaids, and fixed assets, ensuring accuracy, completeness, and timeliness.
• Assist with asset tracking across clinic locations in collaboration with practice managers, ensuring accurate tracking and accounting of balances.
• Provide any supporting schedules and backup to auditors or banks as requested.
• Ensure deadlines are met and balance sheet balances are reconciled to supporting schedules monthly.
• Review monthly activities and reconciliations with the Sr. Associate and/or CFAO, with any variances resolved and/or explained.

Accounts Payable

Perform all accounts payable processes which include but may not be limited to:

• Ensure all vendor invoices are validated to associated contractual terms, approved in accordance with company policies, entered timely, and coded to the correct accounting period and GL accounts.
• Manage the company’s external vendor payment platform (Ramp) including all vendor setup and maintenance, invoice approval rules, maintain payment accounts, and perform all invoice entry and coding.
• Prepare weekly or bi-weekly payables runs for review with the Sr. Associate and/or CFAO.
• Oversee and ensure proper documentation and approvals on expenses paid on company credit cards, reconcile balances monthly.
• Reconcile sub-ledger balances to GL and external vendor payment platforms monthly.
• Manage creation and distribution of 1099s at year end.
• Serve as the internal contact for vendor payment questions and primary financial contact for vendors to respond to questions, resolve disputes, and negotiate/update terms.

Payroll, Benefits & Related Accounting

Work with the Sr. Associate to perform all bi-weekly payroll processing activities for a growing employee base that comprised of hourly and salaried employees including timecard administration, incentive payment calculations and administration, statutory and benefit deductions, state/local/federal tax issues, garnishments, employee absence and PTO tracking, etc.

Support processing and reconciliation of 401(k) matches and other payroll-related benefits or deductions.

Prepare appropriate documentation and reconciliations for payroll-related GL accounts.

Reconcile benefits deductions to vendor invoices monthly.

Cash Management

Ensure timely and accurate entry of daily cash transactions.

Perform monthly bank reconciliations and ensure tie outs between sub-ledger and GL balances.

Support other cash management activities (e.g., monitoring bank balances between entities and processing intercompany transfers, preparing wire and ACH payments, managing positive pay activities).

Note: Hightop Health reserves the right to change or assign other duties to this position.

Competencies:

The Staff Accountant must demonstrate strong technical knowledge along with analytical and organizational skills to support accurate financial operations in a growing healthcare organization. Key competencies include:

• Technical Accounting & Financial Acumen: Demonstrates solid understanding of GAAP, core accounting principles, and financial reporting concepts.
• Attention to Detail & Accuracy: Produces very high-quality work with strong accuracy in supporting schedules, reconciliations, and journal entries.
• Organization & Time Management: Must be self-directed and able to balance multiple competing deadlines, especially during month-end and year-end close, while maintaining high-quality work output. Must be willing to put in occasional extra time to meet deadlines when/if needed.
• Analytical Thinking & Problem-Solving: Critical thinking skills are essential and must be able to effectively analyze data, identify variances, and help explain and resolve questions or issues.
• Initiative: Takes ownership of tasks, proactively identifies needs and suggestions for potential solutions or process improvement opportunities.
• Collaboration & Teamwork: Works effectively with Finance colleagues, practice managers, HR, and other stakeholders; communicates respectfully and constructively.
• Communication (Written & Verbal): Communicates financial information clearly and professionally to all levels of the organization and external parties.
• Integrity & Confidentiality: Handles sensitive financial data with discretion and maintains high ethical standards.
• Adaptability & Entrepreneurial Mindset: Thrives in a start-up or high-growth environment (enjoys change); readily adjusts to evolving processes, systems, and priorities.

Education/Licensure:

Bachelor’s degree in Accounting will be prioritized. May consider other equivalent education/work experience.

Skills and Work Experience Requirements:

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 Intaact or other common accounting systems.

Previous payroll processing experience with ADP or other large HRIS/Payroll platforms.

Demonstrated experience performing core accounting activities including accounts payable/receivable, general ledger reconciliations, journal entries, and payroll processing.

Experience supporting external audits.

Experience in a start-up or high-growth environment and comfort operating with evolving processes and priorities strongly preferred.

Excellent organizational skills, with the ability to prioritize and complete tasks quickly and efficiently.

About Hightop Health

Hightop Health is the premier outpatient mental health group, committed to setting the standard for superior patient care. Our Centers of Excellence combine cutting-edge research, advanced treatment options, and industry-leading expertise to deliver evidence-based, integrative psychiatry that treats the whole person. Care is provided by top-tier clinicians who truly care, and each treatment plan is as unique as the patient receiving it, blending traditional and novel interventions, biological and psychological approaches, and personalized strategies informed by real-world outcomes.

We are a clinician-centric practice, supported by an interdisciplinary team and robust infrastructure, allowing providers to focus on delivering the highest quality care while we manage operational and administrative details.

Learn more: www.hightophealth.com

Hightop Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.