Junior Accountant (Temporary-to-Hire)
Liverpool, NY | Onsite Only | $26–$28/hr (DOE)

A well-established, multi-location medical specialty practice in Central New York is hiring a Junior Accountant to support daily accounting operations. This role is heavily focused on AR/AP and daily reconciliations and requires accuracy to the penny. This position is ideal for someone who likes structure, consistency, and transactional accounting.

Location & Schedule

• On-site only (no remote/hybrid)

• Full-time, 40 hours/week | Temp-to-Hire (anticipated conversion after ~90 days based on performance)

• Flexible start time between 7:00 AM–8:30 AM
  Typical schedules: 8:00–4:30 or 8:30–5:00

• Pay depends on experience and independence with QuickBooks, Excel, and reconciliations

Key Responsibilities

Accounts Receivable & Cash Reconciliation

• Reconcile daily deposits from multiple office locations

• Balance cash, checks, and credit card payments from patients and insurance carriers

• Ensure all daily activity reconciles accurately and completely

• Process incoming mail related to receivables

Accounts Payable

• Process and enter vendor invoices (approx. 50/month)

• Maintain accurate documentation and records

• Assist with AP reporting as needed

Accounting & Administrative Support

• Create/maintain Excel spreadsheets for reconciliation and reporting

• Basic general ledger entries and reconciliation support

• Support bi-weekly payroll batch processing and related GL reconciliation

• Manage petty cash distribution, balancing, and replenishment

• Assist with remote deposits and weekly bank deposits

Required Skills & Experience

• Strong QuickBooks experience (required)

• Strong Excel skills (spreadsheets from reports, formulas, filters, reconciling across tabs)
  Pivot tables/VLOOKUP helpful (can be taught)

• Experience in bookkeeping, junior accounting, or AR/AP

• Ability to reconcile financial activity accurately to the penny

• Organized, detail-oriented, able to manage multiple tasks in a fast-paced office

• Professional demeanor; comfortable in a medical office environment

• Healthcare accounting a plus (not required)

What This Role Is (and Isn’t)

This role IS: detail-focused, reconciliation-heavy, hands-on/transactional, stable and process-driven.

This role is NOT: remote/hybrid, a senior accountant or analytical finance role, or a fast-track leadership position.

Benefits after being hired on

Medical/dental/vision, 401(k) with employer contribution and profit sharing, additional long-term retirement benefits (after eligibility), performance bonus eligibility, PTO and appreciation incentives, free onsite parking.

Submit a resume to cnyjobs@hiresapphire.com for immediate consideration.

Sapphire Recruitment is an EOE.

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