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Hospital Accountant Jobs (NOW HIRING)

Hospital Controller

Amarillo, TX · On-site

$115K - $125K/yr

The Controller will oversee the hospital's accounting and financial operations while serving as an active member of the leadership team. This role requires both strong technical finance expertise and ...

Knowledgeable of GAAP principles and, for Hospital Accounting roles, OSHPD guidelines for financial preparation. Maintains a working knowledge of department standard operating procedures. Projects an ...

Senior Accountant

Fairfield, CA · On-site

$46.20 - $56.14/hr

Experience: * 5 or more years hospital accounting experience, with prior experience related to area of concentration. Skills: * Able to work effectively under tight time constraints. * Must be able ...

⭐ Join Our Team! ⭐ Join Taylor Regional Hospital and help us uphold our vision of being the ... Position: 🧾 💵 Accountant 💵 🧾 Location: On Site at Taylor Regional Hospital, Kentucky ...

Senior Accountant

Fairfield, CA · On-site +1

$75K - $94K/yr

We are expanding access to care across our communities through two acute-care hospitals, including ... B.S. in Accounting or equivalent experience. * CPA preferred. Experience: * 5 or more years ...

Accounting Supervisor

Alexandria, VA · On-site

$110K - $185K/yr

Insight Global is seeking an Accounting Supervisor to support a hospital's accounting team in Alexandria, VA. This is a newly created role reporting into the Accounting Manager, with a strong mix of ...

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Hospital Accountant information

See salary details

$34.5K

$65.8K

$98K

How much do hospital accountant jobs pay per year?

As of Jun 10, 2026, the average yearly pay for hospital accountant in the United States is $65,812.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,000.00 and $74,000.00 per year, depending on experience, location, and employer.

What does a hospital accountant do?

A hospital accountant manages the financial records and transactions of a hospital or healthcare facility. Their responsibilities include preparing financial statements, budgeting, handling billing and payments, ensuring compliance with healthcare regulations, and overseeing audits. They play a crucial role in making sure the hospital's finances are accurate and transparent, which helps the institution run efficiently and remain financially healthy.

What are the key skills and qualifications needed to thrive as a Hospital Accountant, and why are they important?

To thrive as a Hospital Accountant, you need a solid understanding of accounting principles, healthcare finance, and regulatory compliance, typically supported by a bachelor's degree in accounting or finance. Experience with hospital information systems, accounting software like QuickBooks or SAP, and familiarity with healthcare reimbursement systems are highly valued. Strong analytical thinking, attention to detail, and effective communication skills help in interpreting complex financial data and collaborating with healthcare teams. These skills ensure accurate financial reporting, regulatory adherence, and sound fiscal management in the healthcare environment.

What is the difference between Hospital Accountant vs Medical Billing Specialist?

AspectHospital AccountantMedical Billing Specialist
CredentialsBachelor's in Accounting, Finance, or related field; CPA often preferredHigh school diploma or equivalent; certification like Certified Professional Biller (CPB) beneficial
Work EnvironmentHospitals, healthcare facilities, accounting departmentsMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesFinancial reporting, budgeting, auditing, complianceProcessing insurance claims, coding, billing, accounts receivable
Industry UsageUsed across healthcare organizations for financial managementUsed in healthcare billing and revenue cycle management

Hospital Accountants focus on financial management, reporting, and compliance within healthcare settings, while Medical Billing Specialists handle insurance claims, coding, and billing processes. Both roles are essential in healthcare finance but differ in scope and daily tasks.

What are the main challenges hospital accountants face in managing healthcare finances?

Hospital accountants often deal with complex billing systems, insurance claims, and regulatory compliance, which can make accurate financial reporting a challenge. They must stay current with healthcare regulations and coding updates, as well as coordinate with medical staff to resolve discrepancies. Additionally, managing budgets for multiple departments and ensuring timely reimbursement from insurers requires strong organizational and communication skills. These responsibilities make attention to detail and adaptability essential in this role.
More about Hospital Accountant jobs
What cities are hiring for Hospital Accountant jobs? Cities with the most Hospital Accountant job openings:
What states have the most Hospital Accountant jobs? States with the most job openings for Hospital Accountant jobs include:
Infographic showing various Hospital Accountant job openings in the United States as of June 2026, with employment types broken down into 5% Locum Tenens, 18% Full Time, and 77% Part Time. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $65,812 per year, or $31.6 per hour.
Sr Staff Accountant: Accounting

Sr Staff Accountant: Accounting

Hoag Memorial Hospital Presbyterian

Costa Mesa, CA • On-site

$37.56 - $58.09/hr

Full-time

Posted 13 days ago


Hoag Memorial Hospital Presbyterian rating

8.3

Company rating: 8.3 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

78th of 997 rated hospitals


Job description

Job Description
We are seeking a Senior Accountant to take full ownership of a $1B+ fixed asset portfolio, including approximately $750M in Construction-in-Progress (CIP). This is a hands-on, lead-level role for a seasoned professional who has managed fixed assets at scale and can independently direct the function with confidence and authority.
Why This Role
This is an opportunity for a senior-level accountant professional who is ready to lead , not learn, and make an immediate impact overseeing a highly material, visible, and complex asset portfolio.
Performs general accounting functions for the department and work closely with other members of the Accounting Team. May supervise personnel, and lead within the department when the manager/supervisor is unavailable. Knowledgeable of GAAP principles and, for Hospital Accounting roles, OSHPD guidelines for financial preparation. Maintains a working knowledge of department standard operating procedures. Projects an image of professionalism in communication, appearance, and conduct.
Role Overview
  • Own the end-to-end fixed asset and CIP lifecycle, including capitalization, depreciation, transfers, disposals, and reconciliations.
  • Lead CIP tracking and Inservice transitions for large, multi-year capital projects.
  • Serve as the fixed-asset subject matter expert, including review and oversight of journal entries prepared by others.
  • Partner cross-functionally with Facilities, IT, Finance, Project Management, and external auditors.
  • Act as the primary audit contact for fixed assets and CIP.
  • Drive accuracy, strong internal controls, and continuous process improvements in a complex, highly regulated environment.

Responsibilities
Key Functions
  • Complete account analyses, bank reconciliations, and supporting schedules in a consistent and timely manner; research, resolve, and report anomalies to management.
  • Review designated accounts for reasonableness and accuracy, evaluating and recording necessary adjustments prior to period close.
  • Prepare and post journal entries accurately and timely, ensuring appropriate account classification, balanced entries, and adequate supporting documentation.
  • Serve as a subject matter expert for journal entries, including review of entries prepared by others.
  • Perform special analyses and research for departments, vendors, audits, cost reports, tax reporting, fixed asset management, and cash-related items.
  • Perform other duties as assigned, consistent with a senior-level accounting role.

Qualifications
Minimum Qualifications
  • Bachelor's degree in accounting or finance.
  • 8+ years of progressive accounting experience, with substantial responsibility for fixed assets and/or CIP.
  • Demonstrated experience managing large fixed-asset portfolios (at least hundreds of millions of dollars).
  • Strong knowledge of GAAP, including capitalization, depreciation, disposals, and asset controls.
  • Proven experience preparing and reviewing journal entries and account reconciliations.
  • Experience supporting external audits.
  • Proficiency with ERP systems and fixed-asset modules.
  • Ability to work independently, take ownership, and manage priorities with minimal supervision.

Preferred Qualifications
  • CPA or CPA-eligible.
  • Experience managing fixed assets at the $1B+ portfolio level and/or large CIP balances.
  • Healthcare, nonprofit, or other highly regulated industry experience.
  • Familiarity with California healthcare reporting requirements, including OSHPD and cost reports.
  • Experience leading or improving fixed-asset processes and internal controls.
  • Advanced Excel skills and experience with asset sub-ledgers and reporting tools.

About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County's health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag's awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.

What Hoag Memorial Hospital Presbyterian employees say

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Hoag Memorial Hospital Presbyterian logo

About Hoag Memorial Hospital Presbyterian

Sourced by ZipRecruiter

Hoag Memorial Hospital Presbyterian, located in Newport Beach, CA, US, is a leading health care provider within the healthcare industry. Their official website is hoag.org. Hoag is a nonprofit, regional health care delivery network in Orange County, California, that treats over 30,000 inpatients and 450,000 outpatients annually. Founded in 1952, the hospital has stood as a pillar of health in the community for over six decades. Committed to providing the highest quality care to patients, Hoag offers a range of comprehensive services including cancer care, women's health services, heart and vascular service, orthopedics, neurosciences and spine care.

Industry

Hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Newport Beach, CA, US