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Hospital Accounting Jobs in Texas (NOW HIRING)

Accountant

Odessa, TX · On-site

$23.52 - $38.12/hr

Previous Accounting experience required, Hospital accounting experience preferred. C. Job Knowledge:Should possess technical and professional accounting skills, have written and verbal communication ...

Previous Accounting experience required, Hospital accounting experience preferred. C. Job Knowledge:Should possess technical and professional accounting skills, have written and verbal communication ...

Position Requirements: • CPA - not required • Bachelor's Degree required; MBA preferred. • Minimum of five years hospital accounting experience preferred. • Knowledge of financial management ...

Maintain accurate and up-to-date gift records in Raiser's Edge and the hospital's accounting system. * Prepare reports showing the status and use of donations and restricted funds. * Communicate with ...

As a Controller at Encompass Health, you'll lead the accounting and financial team, using your specialized skills to drive the hospital beyond its financial objectives. Join us in a gratifying career ...

As a Controller at Encompass Health, you'll lead the accounting and financial team, using your specialized skills to drive the hospital beyond its financial objectives. Join us in a gratifying career ...

Accounting Director

Dallas, TX · On-site

$110 - $150/hr

Bachelors degree in Accounting or related field required. * 7-10 years previous hospital level healthcare or comparable experience is required. * Excellent communication skills. Core Competencies ...

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Hospital Accounting information

See Texas salary details

$12

$20

$28

How much do hospital accounting jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for hospital accounting in Texas is $20.57, according to ZipRecruiter salary data. Most workers in this role earn between $17.45 and $22.84 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive as a hospital accountant?

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 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 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 does a hospital accountant do?

A hospital accountant manages financial records, prepares budgets, processes billing and payments, and ensures compliance with healthcare regulations. They use accounting software and often work closely with hospital administration to monitor financial performance and support fiscal decision-making.

What job categories do people searching Hospital Accounting jobs in Texas look for?

The top searched job categories for Hospital Accounting jobs in Texas are:

What cities in Texas are hiring for Hospital Accounting jobs?

Cities in Texas with the most Hospital Accounting job openings:

Infographic showing various Hospital Accounting job openings in Texas as of August 2026, with employment types broken down into 81% Full Time, and 19% Contract. Highlights an 84% In-person, and 16% Hybrid job distribution, with an average salary of $42,789 per year, or $20.6 per hour.

$23.52 - $38.12/hr

Full-time

Re-posted 13 days ago


Medical Center Health System rating

8.4

Company rating: 8.4 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

25th of 893 rated healthcare providers


Job description

Position Summary
Compile data and prepare / analyze statistical and financial ledgers and reports to aid hospital management in measuring performance of daily operations within the hospital. Utilize cost accounting software to provide decision making tools for senior management.
Qualifications:
A. Education:College level Accounting credits required; Bachelor's degree in Accounting or related field preferred.
B. Training and Experience:Previous Accounting experience required, Hospital accounting experience preferred.
C. Job Knowledge:Should possess technical and professional accounting skills, have written and verbal communication abilities as well as analytical and interpretive skills. Experience with Excel and Windows-based software.
Unusual Physical Demands and Working Conditions:
A. Prolonged sitting and prolonged VDT (Video Display Terminal) exposure.
B. Possible exposure to patients with infectious diseases.

What Medical Center Health System employees say

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