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Hospital Accounting Jobs (NOW HIRING)

Hoag

Sr Staff Accountant: Accounting

Costa Mesa, CA · On-site

$74K - $91K/yr

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 ...

The Staff Pad

Staff Accountant

Manchester, TN · On-site

$47K - $62K/yr

General Ledger accounting Financial reporting Reconciliations and month-end processes Healthcare or hospital accounting experience Experience supporting multi-entity or multi-site operations High ...

The Staff Pad

Staff Accountant

Russellville, AL

$42K - $56K/yr

General Ledger accounting Financial reporting Reconciliations and month-end processes Healthcare or hospital accounting experience Experience supporting multi-entity or multi-site operations High ...

BSA

Controller

Amarillo, TX · On-site

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

Parkland Health

Financial Counselor

Tower, MN · On-site

$16 - $20.75/hr

Documents actions taken in the hospital accounting system. * Assign appropriate coverage to accounts, including outside agencies when appropriate to ensure patient financial responsibilities are ...

Artius Solutions

Ta

Dover, DE · On-site

Familiarity with hospital accounting and tax preparation in both for-profit and nonprofit settings

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All JobsHospital Accounting Jobs

Hospital Accounting information

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$12

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$30

How much do hospital accounting jobs pay per hour?

As of Aug 6, 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.

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 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 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.
More about Hospital Accounting jobs
What cities are hiring for Hospital Accounting jobs? Cities with the most Hospital Accounting job openings:
What states have the most Hospital Accounting jobs? States with the most job openings for Hospital Accounting jobs include:
What job categories do people searching Hospital Accounting jobs look for? The top searched job categories for Hospital Accounting jobs are:
Hospital Accounting jobs near you
Infographic showing various Hospital Accounting job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $45,928 per year, or $22.1 per hour.

Senior Accountant

Nashville General Hospital at Meharry

Nashville, TN

$71K - $89K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago

Nashville General Hospital rating

7.7

Company rating: 7.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

221st of 1,054 rated hospitals

Job description

Nashville General Hospital is hiring for a Senior Accountant for Finance as a full-time job in Nashville, Tennessee.
The Senior Accountant is primarily responsible for the coordination of accounting functions in the department including maintaining the General Ledger and supporting schedules, assisting with payroll and budget preparation, and maintaining required records and reports. This position also performs monthly financial analyses, coordinates month-end closing processes, and assists in the preparation of monthly financial reports.
Senior Accountant Roles and Responsibilities:
  • Performs accounting duties in a proficient and efficient manner. This includes the maintenance and reconciliation of General Ledger accounts.
  • Manages fixed assets, Nashville General Hospital Foundation, payroll (including checks and ACH), and vendor payments and taxes as assigned.
  • Maintains schedules and posts appropriate journal entries to GL. Reconciles GL account to schedules for assigned accounts.
  • Prepares and presents reports for assigned departments, including monthly expense and productivity variance reports.
  • Research, analyze, prepare, and reconcile data for assigned department budgets.
  • Reconciles lease schedules to GL and posts any correcting journal entries.
  • Assists in the preparation of monthly financial reports.
  • Assists in designing meaningful and realistic action plans for the implementation of process improvement ideas. Performs monitoring of throughput metrics as needed.
  • Ensures assigned accounts are reconciled in a timely manner and prepared for year-end audit.
  • Maintains accounting records in an orderly and neat fashion.
  • Works closely with Accounts Payable for proper accruals.
  • Serves as a facilitator and analyst to assigned hospital departments/teams on the use of process improvement tools and analytical techniques, and statistical applications.
  • Assists in year-end and other audits as needed.
  • Trains others on various aspects of accounting procedures as needed.
  • Serves as back-up for Treasury Manager functions.
  • All other duties as assigned.


Required Skills and Qualifications:

  • 3 years Accounting experience required.
  • Proficient in independent account reconciliation without direction or training.
  • Demonstrates a consistent strong capacity to work autonomously, while also effectively following guidance from team members.
  • Bachelor's degree in Accounting or related field strongly preferred.
    • Associate's degree with significant relevant experience may be substituted for Bachelor's Degree.
  • Multiview/Oracle experience preferred.
  • Hospital Accounting experience preferred.

About Nashville General Hospital

Nashville General Hospital (NGH) is Nashville's original community- based hospital. Joint Commission accredited, NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues to maintain its strong commitment to the healthcare needs of Nashville and Davidson County underserved, while also providing care to all segments of the community.

Our benefits include:

  • Medical, Dental, and Vision Insurance within first 31 days of employment
  • Programs to reduce share of deductible and total out-of-pocket expenses
  • Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses
  • Short and Long-Term Disability - up to 60% of eligible weekly pay
  • Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
  • Retirement Plan - eligible up to IRS max limits and includes company contribution
  • Shift and Weekend Differential Pay Offered on Nights and Weekends
  • Tuition Reimbursement for employee and dependents
  • 12 paid holidays - any holiday worked is another holiday banked
  • Flexible Spending Accounts
  • Free Parking for all employees

Join our team at Nashville General Hospital. Apply today!

#INDOTH2026

Employment Type: Full-Time

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