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Hospital Accounting Jobs (NOW HIRING)

Senior Accountant

Brentwood, TN · On-site

$70K - $88K/yr

This role is ideal for an accounting professional who has previously worked within acute care hospital accounting environments , understands the pace and rigor of healthcare financial operations, and ...

SR Accountant

Dallas, TX

$73K - $92K/yr

Bachelor degree with major in accounting required CPA Preferred Hospital accounting experience preferred Work Experience: 5 or more years of experience Must be a team-oriented problem-solver.

The Controller is responsible for overseeing the hospital's accounting operations and ensuring the accuracy, integrity, and timeliness of financial reporting. This role manages the monthly financial ...

SR Accountant

Dallas, TX · On-site

$73K - $92K/yr

Bachelor degree with major in accounting required CPA Preferred Hospital accounting experience preferred Work Experience: 5 or more years of experience Must be a team-oriented problem-solver.

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Hospital Accounting information

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How much do hospital accounting jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for hospital accounting in the United States is $22.08, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $24.52 per hour, depending on experience, location, and employer.

Can you make $500,000 a year as an accountant?

Hospital accountants typically do not earn $500,000 annually; salaries vary based on experience, location, and responsibilities. High-level financial managers or chief financial officers in healthcare organizations may reach such compensation levels, especially with advanced certifications and extensive experience. Most hospital accounting roles offer salaries below this threshold, with higher earnings possible in executive or specialized positions.

Can you make $100,000 as an accountant?

Hospital accountants can earn $100,000 or more annually, especially with experience, advanced certifications, or managerial roles. Salaries vary based on location, education, and the size of the healthcare facility, with senior positions and specialized skills often commanding higher pay.

What is the difference between Hospital Accounting vs Medical Billing?

AspectHospital AccountingMedical Billing
CredentialsAccounting degree, CPA (optional)Medical coding certification, CPC or equivalent
Work EnvironmentHospitals, healthcare finance departmentsMedical offices, billing companies, healthcare providers
Employer & Industry UsageHospitals, healthcare organizationsMedical practices, billing services
Primary FocusFinancial management, budgeting, accounting recordsProcessing insurance claims, coding, billing patients

Hospital Accounting focuses on managing the financial records and budgets of healthcare facilities, ensuring compliance and accurate reporting. Medical Billing involves coding patient services and submitting claims to insurance companies. Both roles are essential in healthcare finance but serve different functions within the industry.

What is hospital accounting?

Hospital accounting refers to the specialized field of accounting that manages and tracks the financial activities of a hospital or healthcare facility. It involves recording, analyzing, and reporting financial transactions such as patient billing, insurance claims, payroll, and operating expenses. Hospital accountants ensure compliance with healthcare regulations, maintain accurate financial records, and support budgeting and financial planning. Their work is crucial for maintaining the financial health and transparency of the hospital.

What are some common challenges faced by professionals working in hospital accounting, and how can they be managed?

Hospital accounting professionals often encounter challenges such as navigating complex billing systems, staying updated with ever-changing healthcare regulations, and reconciling large volumes of transactions. Managing these challenges typically involves ongoing training in compliance standards, effective use of healthcare accounting software, and close collaboration with clinical and administrative staff to ensure accurate financial reporting. Proactive communication and attention to detail are key to successfully managing these responsibilities and maintaining financial integrity within the hospital environment.

What is a hospital accountant?

A hospital accountant is a finance professional responsible for managing the financial records, billing, and budgeting of a healthcare facility. They ensure accurate coding, compliance with regulations, and assist in financial reporting using accounting software. Strong attention to detail and knowledge of healthcare billing are essential skills for this role.

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 strong expertise in accounting principles, financial analysis, and healthcare regulations, usually supported by a degree in accounting or finance. Familiarity with hospital financial systems like Meditech, QuickBooks, or Epic, as well as certifications such as CPA, is highly valuable. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with medical and administrative staff. These skills are crucial for maintaining financial integrity, compliance, and efficient resource management within a complex healthcare environment.

What does an accountant do at a hospital?

A hospital accountant manages financial records, processes billing and payments, prepares budgets, and ensures compliance with healthcare regulations. They use accounting software and often work closely with hospital administration to monitor financial performance and control costs.
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Director Hospital Accounting

Director Hospital Accounting

Methodist Health System

Dallas, TX • On-site

Full-time

Posted 16 days ago


Job description

Hours of Work :
40
Days Of Week :
5
Work Shift :
Job Description :
Your Job:
In this highly technical, fast-paced, and rewarding position, you'll collaborate with multidisciplinary team members to manage the general accounting and budgeting functions for Methodist Dallas Medical Center to ensure that financial reporting needs are met and that financial statements present fairly, in accordance with generally accepted accounting principles the results of the hospital's operations.
Your Job Requirements:
• Bachelor degree with major in accounting required
• CPA Preferred
• Hospital accounting experience preferred
• Work Experience: 5 or more years of experience
• Must be a team-oriented problem-solver
• Accounting software experience preferred (Workday preferred)
• Related budgeting experience required
Your Job Responsibilities:
  • Perform all aspects of the monthly close for assigned hospital to assure completion of the monthly financial and statistical reports in a timely and accurate manner, including coordination with facilities' administrative and operational teams and centralized finance team.
  • Coordinate the preparation of the annual operating budget for assigned facilities, including oversight of model tables used for revenue/volume budgets, provides budget training for department leaders and assists leaders with their budgets, attends budget planning and review meetings, reviews overall accuracy of budget and related spreads
  • Assist with preparation of annual audit schedules, year-end account reconciliations and interface with auditors
  • Routine ongoing analysis of balance sheet asset and liability accounts for various entities
  • Coordinate facilities' year-end count of physical inventory, extensions, and records necessary adjustments and ensures the accuracy of records
  • Communicates with facility and corporate executive leadership on the status of the accounting operation and budgets
  • Provides facility's administrative and operational teams with financial training and support.
  • Prepares journal entries and budgets related to physician professional fees.
  • Provides management direction to professional and clerical accounting staff, approves journal entries, assigns duties, hire and train new employees.
  • Supervises preparation and ensures the accuracy of all reports issued by staff
  • Other duties as assigned.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned:
  • Great Place to Work Certified 2026-2027
  • Glassdoor's Best Places to Work 2025 & 2026
  • Glassdoor's Best Places to Work in Healthcare, Biotech & Pharma 2026
  • TIME's Best Companies for Future Leaders 2025 & 2026
  • Newsweek's America's Most Admired Workplaces 2026
  • Glassdoor's Best-Led Companies 2025
  • Fortune Best Workplaces in Health Care 2025
  • Military Friendly Gold Employer 2025
  • Becker's Hospital Review 150 Top Places to Work in Healthcare 2025
  • Newsweek's Americas Greatest Workplaces 2025