Sr Cash Accountant
Full-time
US
Oct 24, 2026
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About the Role
Overview The Senior Cash Accountant supports centralized cash management by reconciling bank accounts, recording cash activity, resolving variances, and maintaining audit-ready documentation. This role partners with Accounting, Treasury, Patient Financial Services, Grants, Payroll, and operational teams to ensure cash transactions are accurate, timely, and properly recorded while supporting process improvement and automation. Responsibilities Prepare and review timely bank reconciliations for assigned cash accounts. Research, analyze, and resolve complex reconciling items, unidentified transactions, outstanding checks, fees, transfers, and posting discrepancies. Record and review cash transactions and journal entries with accurate account, entity, worktag, grant, and period coding. Compare and reconcile bank, general ledger, revenue, payroll, treasury, grant, and other source records to ensure complete and accurate cash activity. Prepare and review cash account reconciliations and supporting schedules for month-end and year-end close processes. Analyze cash activity, account balances, and reconciliation trends; identify root causes and recommend corrective actions. Meet close deadlines and promptly escalate unresolved differences, control concerns, compliance issues, or financial risks. Partner across operational departments to resolve complex cash issues and improve transaction flow. Support internal and external audits by providing documentation, reconciliations, analyses,