Job Summary
The Controller is responsible for coordinating and performing the accounting and financial reporting functions of Roosevelt General Hospital (RGH) and affiliated clinics. Working under the direction of the Chief Financial Officer (CFO), the Controller maintains the integrity of financial records, oversees general ledger activities, prepares financial reports, assists with budgeting, coordinates audits and cost reporting activities, and helps ensure compliance with applicable accounting standards and healthcare regulations.
The Controller performs both supervisory accounting functions and hands-on accounting functions and serves as a financial resource to management and department leaders. This position performs duties primarily through approved remote access systems while maintaining regular communication with hospital leadership, finance staff, auditors, and regulatory agencies. Occasional onsite attendance may be required based on operational, audit, regulatory, budgetary, or organizational needs.
Essential Job Responsibilities
Financial Accounting and Reporting
Promote the mission, vision, values, and strategic objectives of Roosevelt General Hospital.
Maintain hospital and clinic financial records.
Maintain and reconcile general ledger accounts.
Prepare, review, and enter monthly journal entries.
Maintain and reconcile bank accounts.
Analyze accounts for accuracy and investigate discrepancies or errors.
Coordinate and complete monthly, quarterly, and annual financial close activities.
Prepare monthly financial statements and supporting schedules.
Develop and maintain advanced Excel spreadsheets, financial models, and reporting tools.
Prepare statistical, standard, and ad hoc financial reports as requested by leadership.
Perform financial calculations to support financial transactions, analyses, and reporting.
Develop and maintain a thorough understanding of RGH accounting systems, processes, and procedures.
Apply accounting principles and techniques including costing, reconciliations, and variance analysis.
Budgeting and Financial Analysis
Assist the CFO with preparation and coordination of annual operating and capital budgets.
Prepare internal departmental budgets.
Distribute monthly budget-versus-actual reports.
Analyze budget variances and provide recommendations to department leaders and administration.
Analyze and monitor financial data, productivity measures, trends, reimbursement patterns, and key performance indicators.
Assess the financial impact of proposed programs, services, equipment purchases, and operational initiatives.
Monitor the financial performance of existing programs and services.
Analyze fiscal activity and recommend actions to improve financial performance and reduce operating costs.
Audit, Cost Reporting, and Compliance
Assist with preparation of annual Medicare and Medicaid cost reports.
Assist with annual independent financial audits.
Prepare and maintain schedules and supporting documentation required for audits and regulatory reviews.
Provide accurate and reliable information for financial reports, audits, grant reporting, and reimbursement reviews.
Prepare and submit required financial and budget reports to state and federal agencies.
Respond to inquiries from state and federal agencies, third-party payers, auditors, and other external organizations.
Assist in ensuring compliance with Generally Accepted Accounting Principles (GAAP), organizational policies, and applicable healthcare regulations.
Assist in maintaining compliance with state licensure requirements, federal regulations, accreditation standards, and other applicable legal requirements.
Internal Controls and Financial Stewardship
Maintain and monitor internal accounting controls designed to safeguard organizational assets.
Ensure timely completion of account reconciliations and resolution of accounting discrepancies.
Monitor cash activity and provide cash flow information to the CFO.
Assist in maintaining fixed asset records and depreciation schedules.
Assist in identifying opportunities to improve financial processes, efficiency, and internal controls.
Leadership and Organizational Support
Coordinate accounting activities and provide guidance to finance personnel as assigned.
Communicate pertinent financial and operational information to leadership and staff.
Investigate, gather information, and respond to financial inquiries from the CFO, administration, and department directors.
Assist in preparation of financial reports and supporting documentation for Board meetings and Finance Committee meetings.
Participate in performance improvement and continuous quality improvement activities.
Assist the CFO and executive leadership with special projects, strategic initiatives, analyses, and reports as requested.
Remote Work Responsibilities
Perform accounting, reporting, budgeting, reconciliation, audit support, and compliance activities through approved remote access systems.
Maintain compliance with all organizational cybersecurity, confidentiality, HIPAA, and data security requirements.
Participate in virtual meetings with hospital leadership, finance staff, auditors, consultants, and regulatory representatives as required.
Maintain regular availability during approved work hours and respond to inquiries in a timely manner.
Coordinate with on-site personnel to ensure timely processing of financial documents, invoices, and accounting records.
Maintain a secure and professional home-office environment with reliable internet connectivity and equipment necessary to perform assigned duties.
Travel to the hospital periodically for audits, budget development, training, regulatory reviews, strategic planning activities, or other business needs as requested.
Operational Support
Serve as backup for Accounts Payable and related accounting functions as necessary.
Perform other duties as assigned.
Non-Essential Functions
Performs other duties as assigned.
Roosevelt General Hospital (RGH) is committed to providing safe, quality care to patients. Employees are required to adhere to the Values of RGH.
Integrity:
We conduct ourselves in an ethical and responsible manner. We handle each encounter, whether with patients, families or co-workers, with transparency, respect and honesty. Our actions are aligned with our values.
Learning:
We believe that growth is enhanced by knowledge and skills. Creating knowledge and skills through teaching and learning is important to us and the healthcare industry. We recognize that learning continues throughout our lives and see learning as essential to keep staff competent. We know that learning changes minds and lives to better serve our patients.
Innovation:
We continuously seek cutting edge equipment, techniques and training to stay at the forefront of health care. We believe being a rural health care facility does not limit our ability to provide world class, innovative health care.
Kindness:
We believe in treating others as we would want to be treated. We want to serve each person with genuine compassion, understanding, and kindness, as if they are members of our own family. This sometimes means extending extra grace to others when they don’t treat us the same.
Excellence:
We strive to be the model facility of quality and safety for our patients and staff alike. We hold each other accountable to the highest standards. We want to be the best at what we do.
Unity:
We stand united in our efforts to provide the best care possible for our patients. We recognize healthcare is no longer dependent on a single provider but is a team sport in which all members play an important role. We support each other and respect the unique skills each person possesses. We also stand in unity with our community and commit to collaborative partnerships for the good of all.
Qualifications
Education
Bachelor's degree in Accounting, Finance, Business Administration, or related field required.
Master's degree in Accounting, Finance, or Business Administration preferred.
Experience
Minimum three (3) years of progressively responsible accounting experience required.
Healthcare accounting experience preferred.
Prospective Payment System Hospital, rural healthcare, Medicare cost reporting, governmental accounting, or healthcare reimbursement experience preferred.
Supervisory or leadership experience preferred.
Certifications
Certified Public Accountant (CPA) preferred but not required.
Professional Requirements
Adhere to dress code and appearance standards when representing the organization in person or virtually.
Complete all required annual education and training.
Maintain confidentiality of patient, employee, and organizational information at all times.
Report hours worked accurately and in accordance with organizational policies.
Obtain supervisory approval before working overtime except in emergency situations.
Maintain compliance with all applicable federal, state, and local regulations.
Represent Roosevelt General Hospital in a positive and professional manner.
Comply with all organizational policies and standards regarding ethical business practices.
Support and communicate the mission, values, ethics, and goals of the organization.
Participate in performance improvement and continuous quality improvement activities.
Attend required meetings, training sessions, and in-services.
Knowledge, Skills, and Abilities
Knowledge of Generally Accepted Accounting Principles (GAAP).
Knowledge of healthcare accounting practices and financial reporting.
Knowledge of Medicare and Medicaid reimbursement methodologies preferred.
Advanced proficiency in Microsoft Excel.
Proficiency with accounting software, financial reporting systems, and electronic document management systems.
Strong analytical, organizational, and problem-solving skills.
Ability to prepare, analyze, and interpret financial statements and reports.
Ability to work independently with minimal supervision.
Ability to prioritize multiple assignments and meet deadlines.
Strong written, verbal, and interpersonal communication skills.
Ability to maintain confidentiality and exercise sound professional judgment.
Ability to effectively work and collaborate in a remote environment.
Physical Requirements and Environmental Conditions
Ability to perform work primarily from a remote office environment.
Prolonged periods of sitting, computer use, and video conferencing.
Ability to communicate effectively by telephone, video conference, and electronic communications.
Reliable internet access sufficient to support secure remote connectivity.
Occasional travel to Roosevelt General Hospital and affiliated facilities may be required.
Ability to lift up to 20 pounds occasionally.,