Job posting: Senior General Accountant Confidential Healthcare Client Puerto Rico

PeopleLift On behalf of a confidential client

Senior General Accountant

Healthcare Industry Puerto Rico Full-Time with Benefits

Employment Type: Full-Time Permanent

Location: Puerto Rico (On-site)

Industry: Healthcare

About this opportunity

PeopleLift is recruiting on behalf of a confidential healthcare organization in Puerto Rico seeking a seasoned Senior General Accountant to join their finance team. This is a full-time permanent opportunity with a comprehensive benefits package at a well-established institution committed to delivering quality patient care across the island. If you are a detail-driven accounting professional with healthcare industry experience and a passion for financial integrity we want to hear from you.

Key responsibilities

• Manage full-cycle general accounting functions including journal entries account reconciliations and month-end and year-end close processes.
• Prepare accurate and timely financial statements in compliance with GAAP and applicable healthcare industry regulations.
• Oversee accounts payable and accounts receivable functions ensuring proper coding and timely processing aligned with healthcare billing standards.
• Monitor and reconcile general ledger accounts identifying and resolving discrepancies with precision and urgency.
• Support internal and external audit processes by preparing required documentation schedules and variance analyses.
• Assist in the preparation of annual budgets and multi-year financial forecasts in collaboration with department leadership.
• Ensure compliance with Puerto Rico Treasury Department (Hacienda) requirements federal tax obligations and applicable CMS/Medicaid/Medicare billing regulations.
• Analyze financial performance data and deliver actionable insights and reports to senior management.
• Maintain and improve internal controls and accounting procedures to safeguard organizational assets.
• Collaborate cross-functionally with clinical operations and HR teams to support budgeting and cost-center reporting needs.

Skills & experience

• Minimum 5 years of progressive accounting experience with at least 2 years in a healthcare hospital or medical services environment strongly preferred.
• Bachelors degree in Accounting Finance or a related field required; CPA license (ICPA Puerto Rico) is a significant advantage.
• Solid working knowledge of GAAP healthcare revenue cycle principles and Puerto Rico and U.S. federal tax regulations.
• Proficiency in accounting software (e.g. QuickBooks SAP Oracle or similar ERP/healthcare financial systems); advanced Microsoft Excel skills required.
• Familiarity with Medicare Medicaid and/or private health insurance billing reimbursement processes and cost reporting is highly desirable.
• Strong analytical skills with the ability to interpret complex financial data and communicate findings clearly to non-financial stakeholders.
• High degree of accuracy integrity and confidentiality in handling sensitive financial and patient-adjacent data.
• Excellent organizational skills with the ability to manage competing deadlines in a fast-paced healthcare environment.
• Bilingual proficiency in Spanish and English (written and verbal) required.

Benefits

This search is being managed exclusively by PeopleLift. Please submit your resume in English or Spanish along with a brief summary of your healthcare accounting experience. All inquiries will be handled with strict confidentiality.

Our client is an EEOC Employer and encourages all minority groups to apply.

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