Accounts Payable- Accountant I

Position Overview:

EXCELth, Inc. is seeking a detail-oriented and highly skilled Accountant I – Accounts Payable to support the day-to-day financial operations of our multi-entity healthcare organization. This position plays a critical role in the Accounts Payable (AP) department, ensuring the accuracy and timeliness of payment processing, vendor management, and financial compliance. The ideal candidate has a strong background in payable accounts, general ledger functions, and grant-related compliance, and can thrive in a fast-paced, deadline-driven environment.

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Key Responsibilities:

Payable Accounts & General Accounting

• Process fullcycle accounts payable across multiple organizational entities.
• Review, validate, and accurately post vendor invoices with proper coding and supporting documentation.
• Resolve vendor inquiries, disputes, and discrepancies in a timely and professional manner.
• Ensure all disbursements comply with internal controls, procurement procedures, and grant requirements.
• Reconcile accounts payable by subledgers with the general ledger on a monthly basis.
• Prepare and post journal entries related to payables, accruals, and monthend close.
• Maintain auditready records and documentation for all AP transactions.

Cross-Functional Payroll & Financial Support

• Assist with biweekly payroll processing, including reconciliation of payrollrelated payables (e.g., garnishments, benefits, 403B).
• Generate payrollrelated journal entries for accurate financial reporting and grant allocation.
• Support W2 reconciliation and yearend payroll closeout in coordination with the payroll team.
• Collaborate with HR and department managers on timekeeping issues and employeerelated inquiries.

Audit, Compliance & Reporting

• Support internal and external audits, including preparation of AP schedules, documentation, and reconciliations.
• Assist with financial reporting related to grants, contracts, and restricted funds.
• Monitor and review expenditures to ensure alignment with budget and funding guidelines.
• Maintain proper documentation and tracking for procurement and vendor contracts.

Administrative & Departmental Support

• Maintain vendor files, ensuring W9s, contracts, and payment terms are up to date.
• Assist in monitoring procurement workflows and staff time allocations as needed.
• Perform bank reconciliations and assist with tracking travel reports and reimbursements.
• Provide backup and support to the payroll and receivables teams during critical processing periods.
• Recommend improvements to enhance AP processes, reduce errors, and increase efficiency.

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Qualifications:

Required:

• Associate or bachelor’s degree in accounting, Finance, or related field; or equivalent professional experience.
• Minimum of 35 years of accounts payable experience, preferably within a nonprofit or healthcare organization.
• Strong knowledge of GAAP and experience with general ledger reconciliations.
• Proficiency in Microsoft Excel and accounting systems.
• Ability to maintain strict confidentiality and handle sensitive information with discretion.
• Excellent organizational, analytical, and communication skills.

Preferred:

• Experience using Paychex, Intergy, or Greenway Health systems.
• Knowledge of healthcare finance, including 340B programs, medical billing, and grantfunded expenditures.
• Familiarity with federal and state compliance requirements for nonprofit financial operations.
• Experience supporting audits, funder site visits, or financial desk reviews.

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Core Competencies:

• High attention to detail and accuracy.
• Ability to manage competing priorities and deadlines.
• Strong interpersonal and vendor management skills.
• Critical thinking and problemsolving capabilities.
• Team player with a collaborative mindset and a commitment to continuous learning.

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EXCELth, Inc. is an Equal Opportunity Employer committed to promoting a diverse and inclusive workplace. We offer a mission-driven environment focused on delivering accessible, community-based healthcare. Salary is based on experience.

About EXCELth INCORPORATED

EXCELth, Incorporated is a private, non-profit organization established in 1991, with a mission to improve community healthcare access, reduce health disparities, and enhance health outcomes. Governed by a consumer board and funded by the U.S. Department of Health and Human Services as a Federally Qualified Health Center (FQHC), EXCELth initially operated in New Orleans but expanded to include Baton Rouge after Hurricane Katrina to meet the primary care needs of displaced individuals. Today, EXCELth runs three health centers and a family dental center in Orleans Parish, in addition to a behavioral health program in East Baton Rouge Parish, effectively acting as a "medical home" for the community. Our services cover a wide range from pediatrics to geriatric care and include behavioral health, dental, pharmacy, and wellness programs. EXCELth is dedicated to delivering quality, affordable primary care while actively engaging patients and their families in the healthcare process.