Jamestown Regional Medical Center

Accounting Manager

Jamestown, ND
Join our team!
Sep 24, 2020
Job Type
Full Time

The Accounting Manager oversees and directs the accounting for hospital related activities. This position also oversees the preparation of detailed profit & loss analysis, financial analysis and overall business analysis for both internal and external users of financial information. Responsible for managing, coordinating and administering the Hospital's finance function to include the following areas: Internal and external financial accounting, investment and cash management, capital expenditures and fixed assets, accounts payable, business planning, financial and statistical reporting, budget, reimbursement analysis and cost report preparation, business line development, cost accounting, benchmarking and statistical reporting.

This position works closely with the CFO to oversee the proper accounting of financial transactions. The Accounting Manager ensures that the proper data is accumulated; recorded, analyzed and financial information is reported to management and external reporting agencies on a timely basis. This individual will initiate strategies and help set goals within the department to ensure these functions are integrated in a way to achieve the highest standards in program quality, productivity, patient satisfaction and financial management. The Accounting Manager will also recommend policies and procedures to ensure internal controls within the functions he or she oversees.

This position reviews and reconciles general ledger accounts, accounts receivable, bad debt and accounts payable accounts and resolves any discrepancies; participates in the preparation of hospital financial statements and reports; assists in the identification and analysis of significant fluctuations in balance sheet/income and expense statement balances; maintains the Foundation's financial records.


  • Oversees AP Clerk's daily tasks/duties and maintenance of AP files. Backup for AP invoice entry and check runs. Reviews accounts payable documents according to established procedures; identify discrepancies and take appropriate corrective action. Compile data and process 1099's for appropriate vendors in accordance with the provisions of the internal revenue code.
  • Oversee and direct the Accountant in preparing journal entries, account reconciliations, fixed assets, allowance calculation, incentive payments and financial statements. Insures that financial statements are prepared in conformance with generally accepted accounting principles and accurately report results of operations.
  • Oversee, or prepare selected month-end general ledger account reconciliations.
  • Oversee\review daily accounts receivable and miscellaneous posting to the general ledger; and ensure reports and records are maintained according to established policies and procedures.
  • Oversees the reconciliation of Business Office cash on hand and petty cash fund.
  • Oversees preparation of quarterly 941 payroll reports. Assists with year-end W-2 process and reconciliation of related accounts and ensures timely and accurate tax filings.
  • Work with Business Office and Payroll to ensure the proper recording of transactions generating by each department.
  • Develop and maintain accounting policies, procedures and system of internal controls to safeguard financial assets of the organization. Assists in evaluating new or modified accounting systems to provide complete and accurate reports of hospital assets, liabilities and financial transactions. Supervises t he iinstallation of such systems.
  • Directs the coordination of audit work papers and provides information and assistance to external auditors to facilitate the audits timely and efficient completion. Works as a liaison between the auditors and other departments in obtaining information.
  • Prepare cost report work papers and provides information and assistance to outside preparers to facilitate timely and efficient completion.
  • Directs the process for identification, reporting, remittance of unclaimed property in accordance with North Dakota Code.
  • Prepare tax return work papers and provides information and assistance to outside preparers to facilitate timely and efficient completion.
  • Coordinate budget process by preparing expense worksheets and payroll entry data for distribution to department heads. Maintain budget worksheets and reports for distribution. Work with CFO to ensure budget is in line with Administration's goals and objectives.
  • Prepare quarterly sales tax returns.
  • Prepare Foundation's Quarterly Financial reports, Donor Gift Reports for CFO. Responsible for the Foundation Donor Annuity Software, maintain Annuity Payable balances and Donor Annuity database. Preparation of journal entries, reconciliation of accounts and weekly deposits. Monitors market conditions and reviews Hospital/Foundation investment performance regularly.
  • Manages the daily cash management operations of the hospital to include the movement of money between accounts to cover the daily operations of the hospital and the daily cash receipt activity of the hospital.
  • Assists in the capital budget process. Ensures the capital budget is analyzed and costs and procurement are compliant with generally accepted accounting principles and remain within budgetary limitations.
  • Analyzes cost-benefit of leasing vs purchasing capital equipment. Initiates capital lease agreements with financing agencies where appropriate. Ensures all capital items are recorded properly in accordance with generally accepted accounting principles and the provisions of FASB. Directs the development of policies and procedures to ensure the proper accounting for the acquisition,transfer and disposition of capital expenditures.
  • Coordinates and conducts fixed asset inventories.
  • Oversees Gift Shoppe deposits, maintain deposit records, prepare consignment worksheets, monthly reports and distribute.
  • Oversees monthly miscellaneous accounts receivable billings for visiting physicians, meals, pharmacist contract, respiratory therapy, radiologist, etc.
  • Prepare various reports and requests for information as required by outside agencies as directed by CFO.
  • Complies with hospital Human Relations Standards.
  • Performs other duties and special projects as assigned or requested.


Bachelor of Science in Accounting CPA Certification preferred. Thorough knowledge of generally accepted accounting principles.

Three to five years of accounting experience, preferably in a healthcare environment. Extensive knowledge of all standard accounting operating procedures and principles. Proficiency with spreadsheet, word processing, and database software application.