Director of Accounting

The Director of Accounting oversees all financial and business office operations for the facility, ensuring accuracy, compliance, and timely reporting. This role manages accounts receivable, accounts payable, payroll, resident trust accounts, and financial reporting while supporting administrative functions and maintaining high standards of professionalism, confidentiality, and service.

Key Responsibilities

Financial & Accounting Operations

• Oversee all accounting functions, including accounts receivable, accounts payable, payroll, purchasing, and general ledger maintenance.
• Prepare accurate and timely financial reports, including monthly aging reports, profit/loss statements, and other required analyses.
• Maintain and reconcile resident trust accounts, petty cash, and all other financial accounts.
• Ensure accurate billing for Medicare, Medicaid, VA, private pay, and other reimbursement sources.
• Post all billing, charges, adjustments, and collections to appropriate ledgers.
• Verify that all ledgers balance with control sheets, journals, and financial reports.
• Maintain current cost logs for Medicare and Medicaid.
• Submit all billing and required documentation within established timelines.

Business Office Administration

• Maintain accurate and compliant employee files, payroll records, and benefits documentation.
• Perform administrative duties including filing, typing, receptionist support, and general office coordination.
• Prepare business reports and respond to information requests from leadership and regulatory bodies.
• Assist in developing and updating policies and procedures related to business office operations.
• Serve on committees as assigned by the Administrator.

Quality Assurance & Compliance

• Participate in the facility’s quality assurance program and attend scheduled meetings.
• Ensure confidentiality of resident, employee, and financial information.
• Maintain compliance with facility policies, state and federal regulations, and reimbursement requirements.

Professional Conduct

• Represent the facility with professionalism in communication, appearance, and demeanor.
• Respond effectively and calmly to residents, families, staff, and external partners—often in emotionally sensitive situations.
• Maintain consistent, reliable attendance and coordinate time off with the Administrator.

Qualifications

• High school diploma or equivalent required; additional education in accounting or business preferred.
• Minimum 2 years of business office or accounting experience, preferably in a healthcare or long-term care environment.
• Proficiency with computers and accounting software; strong aptitude for numerical accuracy.
• Ability to type at least 35 wpm and operate standard office equipment.
• Strong interpersonal skills, professional communication, and excellent telephone etiquette.
• Ability to work effectively under pressure and adapt to frequently changing conditions.
• Demonstrated ability to organize, prioritize, and complete responsibilities efficiently.
• Commitment to the mission, values, and operational excellence of Sandrock Ridge Care & Rehab.