Top 7 Payroll accountant Jobs in Walla Walla, Wa

Medical Bookkeeper
LIFESTYLE EYE CENTER —Walla Walla, WA
- $23 - $27 an hour
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Lead Accountant
Blue Mountain Action Council —Walla Walla, WA
- From $28.46 an hour
- Full-time
- Spanish
- Microsoft Outlook
- Inventory management
- Paid jury duty
- Paid holidays
Quick Apply
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Medical Bookkeeper

LIFESTYLE EYE CENTER -
Walla Walla, WA

Quick Apply

Job Details

Full-time
$23 - $27 an hour
7 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
401(k) 4% Match
Vision insurance
401(k) matching
Life insurance

Qualifications

Spreadsheets
Patient management software
Electronic health record (EHR) management for billing and coding
QuickBooks Online
QuickBooks
Organizational skills
Business Administration
Business
Associate's degree
Technical Proficiency
Excel data analysis

Full Job Description

About the Role

We are seeking a detail-oriented and organized Medical Bookkeeper to join our growing ophthalmology practice. In this role, you will manage all daily financial operations, reconcile patient accounts, and ensure the accurate maintenance of our financial records.

A key aspect of this position is ensuring seamless coordination between our Electronic Medical Records (EMR) system and QuickBooks, maintaining high integrity across both clinical patient ledgers and general financial accounting.

Key Responsibilities

Financial Tracking & General Ledger: Record all daily financial transactions, manage accounts payable (A/P) and accounts receivable (A/R), and maintain clean financial records in QuickBooks.
EMR Reconciliation: Cross-reference daily patient copays, deductibles, self-pay collections, and insurance payouts from the EMR system against actual bank deposits.
Banking Operations: Oversee daily bank deposits, reconcile merchant processing/credit card accounts, and balance monthly bank statements.
Vendor & Supply Management: Review, process, and pay invoices for medical supplies, clinical inventory, and routine office utilities.
Payroll Support: Prepare and process bi-weekly payroll, accurately tracking employee hours, performance bonuses, and benefit contributions.
Financial Reporting: Generate monthly Profit & Loss (P&L) statements, balance sheets, and cash flow reports for practice leadership to support strategic decision-making.
Tax & Audit Prep: Keep general ledgers organized year-round to facilitate smooth year-end tax reporting with the practice’s CPA.

Required Qualifications

Experience: 2–3+ years of professional bookkeeping or financial administration experience, ideally within a medical or dental practice setting.
Software Proficiency: Strong hands-on experience with QuickBooks (Online or Desktop) and advanced Microsoft Excel skills (data filtering, formulas, reconciliation models).
EMR Familiarity: Demonstrated experience navigating medical billing ledgers, patient accounts, or insurance processing within an EMR software platform.
Education: Associate degree in Accounting, Finance, Business Administration, or equivalent professional certification (e.g., Certified Bookkeeper).

Preferred Qualifications & Skills

Familiarity with vision insurance portals, claim ledgers, and standard medical billing terminology.
Strong organizational skills and sharp attention to detail required for managing high-volume, small-dollar patient transactions.
High degree of discretion, integrity, and strict commitment to maintaining HIPAA compliance and patient privacy standards.

Benefits & Compensation

Starting pay scale is $23-$27/hour, based on experience.
Health insurance, as well as dental and vision.
PTO accrues from first day of employment at a 40:1 rate.
401(k) with up to 4% company match.
And more!

How to Apply

Please submit your resume along with a brief cover letter outlining your relevant bookkeeping and medical office/EMR experience.

Pay: $23.00 - $27.00 per hour

Benefits:

401(k)
401(k) 4% Match
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

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payroll accountant jobs in walla walla, wa

Medical Bookkeeper

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