Finance Specialist (Accounting & Payroll) Full Time

Summary/Objective:

The Finance Specialist is responsible for performing a full range of accounting and payroll functions to support the hospital’s financial operations. This role ensures accurate financial reporting, timely payroll processing, compliance with federal and state regulations, and proper maintenance of financial and payroll records.

The position plays a critical role in accounts payable, payroll administration, financial reconciliation, audit support, and regulatory reporting while collaborating with Human Resources and other departments to ensure accuracy, compliance, and operational efficiency.

Required Education and Experience:

High School Diploma or GED required; Associate’s or Bachelor’s degree in Accounting, Finance, or related field preferred

1–2 years of payroll processing experience

1–2 years of general accounting experience

Knowledge of payroll and accounting principles

Familiarity with federal and state payroll regulations

Proficiency in Microsoft Excel and accounting/payroll systems

Preferred Qualifications:

Strong organizational and analytical skills

Ability to prioritize and meet deadlines independently

Strong math and communication skills

Knowledge of healthcare financial operations (preferred)

Essential Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

1.    Maintain and track financial records, including ledgers, journals, invoices, and receipts.
2.    Process and track accounts payable transactions.
3.    Post accruals, recurring journal entries, and general ledger adjustments.
4.    Reconcile bank accounts and general ledger accounts.
5.    Maintain and manage fixed asset records (additions, disposals, depreciation).
6.    Assist in preparation of monthly financial statements and reporting packages.
7.    Update monthly budget variance reports.
8.    Compile and report ER and discharge statistics.
9.    Process bi-weekly and/or monthly payroll, ensuring accuracy of hours, pay rates, overtime, PTO, and deductions.
10.    Prepare, review, and transmit payroll checks and direct deposits.
11.    Maintain payroll records including earnings, deductions, garnishments, and tax withholdings.
12.    Process payroll adjustments, retroactive pay, and final paychecks.
13.    Coordinate with Human Resources regarding employee changes (new hires, terminations, pay updates, benefits).
14.    Respond to employee payroll inquiries in a timely and professional manner.
15.    Maintain strict confidentiality of payroll and compensation data.
16.    Prepare and submit payroll tax filings (federal, state, local). 
17.    Complete quarterly payroll tax reconciliations and unemployment reports. 
18.    Prepare and distribute annual W-2 forms. 
19.    Prepare and submit vendor 1099 forms and required IRS filings. 
20.    Ensure compliance with CMS requirements, labor laws, and financial regulations. 
21.    Prepare and submit payroll tax filings (federal, state, local). 
22.    Complete quarterly payroll tax reconciliations and unemployment reports. 
23.    Prepare and distribute annual W-2 forms. 
24.    Prepare and submit vendor 1099 forms and required IRS filings. 
25.    Ensure compliance with CMS requirements, labor laws, and financial regulations. 
26.    Prepare and submit payroll tax filings (federal, state, local). 
27.    Complete quarterly payroll tax reconciliations and unemployment reports. 
28.    Prepare and distribute annual W-2 forms. 
29.    Prepare and submit vendor 1099 forms and required IRS filings. 
30.    Ensure compliance with CMS requirements, labor laws, and financial regulations. 
31.    Prepare and submit payroll tax filings (federal, state, local). 
32.    Complete quarterly payroll tax reconciliations and unemployment reports. 
33.    Prepare and distribute annual W-2 forms. 
34.    Prepare and submit vendor 1099 forms and required IRS filings. 
35.    Ensure compliance with CMS requirements, labor laws, and financial regulations.  

Supervisory Responsibility:

This position has no supervisory responsibilities.

Work Environment:

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines, as well as box cutters and small step ladders.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear.  The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Position Type/Expected Hours of Work:

Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00 am to 4:30 pm and must work 40 hours each week to maintain full time status.  Occasional overtime and/or weekend work may be required as job duties demand.

Travel:

No travel is expected for this position.

At Will Statement:

Monroe County Hospital is considered at will.  “At will” means that you may terminate employment at any time, with or without cause or advance notice. “At will” also means that Monroe County Hospital may terminate employment at any time, with or without cause or advance notice, as long as federal and state laws are not violated.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee of the job.  Duties, responsibilities, and activities may change at any time with or without notice