About Us
Sleep Therapy & Research Center is a growing, physician-owned sleep medicine practice serving San Antonio for over two decades. We operate four office locations and three accredited in-lab sleep facilities, alongside an active clinical research program. As we continue to expand our provider team and service lines, we are strengthening our finance and operations infrastructure — and this role is central to that effort.
Position Summary
We are seeking an experienced, detail-oriented Bookkeeper to own day-to-day accounting across our affiliated entities (clinical practice, research organization, and management company). You will handle full-cycle bookkeeping — accounts payable, reconciliations, payroll coordination, and month-end close — and produce clean, timely financials that leadership uses to make real decisions. This position reports to the Director of Operations and works closely with our external CPA, billing team, and executive management.
This is not a data-entry role. We are looking for someone who catches things: duplicate vendor charges, subscriptions that should have been canceled, inter-company transfers that need to be classified correctly. If you take pride in books that are accurate, current, and audit-ready, you will fit in well here.
Key Responsibilities
- Maintain the general ledger and perform full-cycle bookkeeping for three related entities, including proper classification of inter-entity transactions (rent, management fees, and directorship fees).
- Reconcile multiple bank accounts and business credit cards monthly; investigate and resolve discrepancies.
- Process accounts payable: vendor invoice review, coding, approval routing, and payment scheduling.
- Audit recurring vendor and subscription charges against active contracts; flag billing errors, duplicate charges, and charges that continue after cancellation.
- Coordinate bi-weekly payroll processing with our payroll provider (Paychex), including new-hire setup, changes, and payroll journal entries across entities.
- Execute month-end close and deliver a monthly financial reporting package (P&L by entity, cash position, AP aging, key variances) to leadership.
- Maintain the vendor contract and renewal calendar, including auto-renewal notice deadlines.
- Support the external CPA with year-end close, tax preparation schedules, and documentation requests.
- Track fixed assets, prepaid expenses, and accruals; maintain organized, audit-ready digital records.
- Assist leadership with ad hoc analysis (vendor spend reviews, cash-flow tracking, budget vs. actual).
Qualifications
Required:
- 3+ years of full-charge bookkeeping experience (AP, reconciliations, payroll coordination, month-end close).
- Proficiency with accounting software (QuickBooks or similar) and intermediate-to-advanced Excel skills.
- Experience reconciling high-volume credit card and bank activity.
- Strong attention to detail, discretion with confidential information, and the ability to work independently to deadlines.
Preferred:
- Multi-entity or inter-company accounting experience.
- Experience in a medical practice, healthcare, or other regulated environment (HIPAA awareness a plus).
- Familiarity with Paychex or a comparable payroll platform.
- Associate or bachelor’s degree in accounting, finance, or a related field.
Pay: $24.79 - $29.86 per hour
Work Location: In person
