Accountant

Location

Kingsport

Type

Full Time

Benefits:
  • 401(k)
  • Competitive salary
  • Dental insurance
  • Employee discounts
  • Health insurance
  • Paid time off
  • Vision insurance
JOB TITLE: Accountant 

DEPARTMENT: Administration

REPORTING RELATIONSHIP

Reports to: Chief Executive Officer (CEO)
Works closely with: HR Coordinator, Independent CPA, Practice Leadership
Supervises: None

To apply: Submit resume and cover letter


JOB SUMMARY

The Accountant is responsible for the day-to-day accounting and financial operations of a large dermatology practice. This role ensures accurate financial records, timely reporting, regulatory compliance, and effective coordination with an external CPA firm for monthly close, financial reporting, and year-end activities. The position supports leadership with reliable financial information and collaborates closely with HR on payroll processing and related reconciliations.


ESSENTIAL DUTIES AND RESPONSIBILITIES

General Accounting & Financial Operations

  • Maintain the general ledger and ensure accurate recording of all financial transactions across multiple practice entities and locations.
  • Prepare and post journal entries, accruals, and adjustments in accordance with GAAP.
  • Reconcile bank accounts, credit cards, and clearing accounts on a monthly basis.
  • Maintain accurate and complete financial records, including balance sheets, profit and loss statements, and supporting schedules.
  • Ensure confidentiality and security of all financial and payroll information.
Monthly Close & Financial Reporting

  • Coordinate and manage the monthly close process, including timelines, reconciliations, and documentation.
  • Prepare preliminary monthly financial statements and variance analyses for review by the CEO and CPA.
  • Serve as the primary internal liaison with the independent CPA firm for monthly financial reporting, adjusting entries, and financial reviews.
  • Provide financial data and support for budgeting, forecasting, and cost containment initiatives.
Accounts Payable & Cash Management

  • Review, code, and process vendor invoices; ensure accuracy, proper approvals, and timely payment.
  • Maintain vendor files, W-9s, and accounts payable records.
  • Monitor cash flow and assist leadership with short-term cash planning.
  • Cut checks weekly.
  • Maintain payables that are automatically deducted and ensure they are recorded and paid correctly.
Payroll & HR 

  • Work closely with the HR Coordinator to process bi-weekly payroll accurately and on time.
  • Prepare monthly payroll.
  • Calculate, enter and pay bankruptcies/wage garnishments.
  • Reconcile payroll registers to the general ledger each pay period and monthly.
  • Ensure proper accounting for benefits, deductions, bonuses, and payroll taxes.
  • Maintain files on uniform allowances and CME’s to ensure limits are not exceeded.
  • Complete annual payroll audits and year-end reporting (e.g., W-2s, 1099’s, 1095C’s and 1099C’s)
  • Send The Trust Company contributions after every payroll.
  • Send HSA funding after every payroll.
Tax & Compliance Support

  • Maintain records and schedules for payroll, sales, use, and other applicable taxes.
  • File Sales Tax reports monthly.
  • File F&E taxes quarterly.
  • Support CPA firm with year-end tax preparation, audits, and regulatory reporting.
  • Ensure compliance with healthcare-related financial regulations and internal controls.
Systems, Documentation & Process Improvement

  • Maintain accounting systems and ensure appropriate backups and data integrity.
  • Document accounting processes and internal controls; recommend improvements for efficiency and accuracy.
  • Support implementation or optimization of accounting, payroll, or practice management systems as needed.
Other Duties

  • Participate in leadership or operational meetings as requested.
  • Assist with special projects, financial analyses, or audits.
  • Perform other duties as assigned to support the financial health of the organization.
  • Order and maintain appropriate office supplies.

QUALIFICATIONS

Education

  • Bachelor’s degree in accounting.
Experience

  • Minimum of 3–5 years of progressive accounting experience required.
  • Healthcare or multi-entity professional practice experience strongly preferred.
  • Experience coordinating with external CPA firms required.
  • Payroll processing and reconciliation experience required.
Technical Skills

  • Proficiency with QuickBooks accounting software.
  • Strong working knowledge of Microsoft Excel and Microsoft Office Suite.
  • Familiarity with ADP payroll systems 
Skills & Competencies

  • Strong attention to detail and accuracy.
  • Excellent organizational and time-management skills.
  • Ability to exercise sound judgment, prioritize tasks, and meet deadlines.
  • Clear and professional written and verbal communication skills.
  • Ability to work independently while collaborating effectively with leadership, HR, and external partners.

MENTAL DEMANDS

  • Requires frequent judgment, analytical thinking, and problem-solving.
  • Ability to interpret financial data and communicate findings clearly.
  • Requires proficiency in written and spoken American English for effective communication.

PHYSICAL DEMANDS

  • Requires visual acuity for computer and document review.
  • Ability to sit for extended periods and perform routine office and computer-based work.
Compensation: $55,000.00 - $65,000.00 per year

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Company Website: tricitiesderm.com

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U.S. Equal Opportunity Employment Information (Completion is voluntary)

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.