Accounting Manager / Senior Bookkeeper – Medical Clinics

Walk in clinic
Kitchener-Waterloo, Ontario
Part-Time | Permanent

About the Position

We are seeking an experienced, highly organized Accounting Manager / Senior Bookkeeper to take ownership of the day-to-day financial operations of our busy medical clinic organization.

This is not a junior bookkeeping position.

We are looking for someone who can go beyond entering transactions and paying invoices. The successful candidate will be comfortable managing the complete accounting cycle, reconciling accounts, overseeing payroll-related financial processes, monitoring cash flow, preparing meaningful financial reports, coordinating government remittances, and providing management with accurate information to support business decisions.

We are looking for someone capable of taking responsibility for an established accounting function while also helping us improve its organization, controls, reporting, and efficiency.

The ideal candidate combines the accuracy of an experienced bookkeeper with the analytical thinking of an accountant.

Key ResponsibilitiesFull-Cycle Accounting

- Maintain accurate and current accounting records using QuickBooks Online
- Record and classify revenue, expenses, payments, deposits, transfers, accruals, and adjusting entries
- Maintain an accurate and well-organized chart of accounts
- Reconcile bank accounts, credit cards, loans, clearing accounts, and other balance-sheet accounts
- Investigate and resolve discrepancies rather than simply carrying unreconciled balances forward
- Maintain appropriate supporting documentation for transactions
- Ensure records remain organized and audit-ready

Accounts Payable & Vendor Management

- Receive, review, code, and enter vendor invoices
- Maintain accurate accounts payable records
- Prepare regular vendor payment batches for management approval
- Monitor outstanding invoices and due dates
- Prevent duplicate, late, or incorrectly classified payments
- Maintain vendor records and supporting documentation
- Reconcile vendor statements where required
- Identify unusual expenditures, recurring cost increases, or payment discrepancies

Payroll & Physician Payments

- Assist with and oversee accounting related to employee payroll
- Review payroll reports for reasonableness and accuracy
- Reconcile payroll-related accounts
- Maintain appropriate records relating to wages, vacation pay, statutory deductions, and employer payroll costs
- Support payroll processing using Dayforce or comparable payroll systems
- Calculate, review, and reconcile physician payments
- Maintain physician remuneration and overhead calculations accurately
- Identify discrepancies between physician billings, payments, deductions, and accounting records
- Prepare clear supporting schedules for management review

Banking & Cash Management

- Monitor business bank and credit-card activity
- Maintain accurate daily awareness of cash position
- Prepare cash requirements for upcoming payroll, physician payments, taxes, rent, vendors, and other major obligations
- Assist ownership with short-term cash-flow planning
- Identify unusual transactions or unexpected changes promptly
- Ensure transfers and payments are properly documented and reconciled

Month-End Accounting

Complete an organized month-end close, including:

- Bank reconciliations
- Accounts payable review
- Accounts receivable review
- Payroll reconciliations
- Physician-payment reconciliations
- Accruals and adjusting entries
- Balance-sheet account review
- Revenue and expense review
- Investigation of unusual variances

Prepare timely monthly financial information including:

- Profit & Loss Statement
- Balance Sheet




- Cash Flow Summary
- Accounts Payable Aging
- Accounts Receivable Aging
- Comparison with prior months and periods
- Identification of significant financial variances or concerns

The successful candidate should be able not only to produce reports, but also to recognize when the numbers do not make sense and investigate why.

Government Reporting & Compliance

- Prepare or assist with HST filings and reconciliations
- Maintain records required for CRA reporting
- Assist with payroll remittances and related government obligations
- Maintain appropriate supporting records for taxation and year-end accounting
- Coordinate with the corporation's external accountant when required
- Assist with preparation of year-end working papers and supporting schedules
- Help ensure government filings and financial deadlines are identified and completed on time

Financial Reporting & Management Support

We are seeking someone who can help management understand the business, not simply record it.

Responsibilities may include:

- Monitoring clinic revenues and operating expenses
- Reviewing trends in payroll and staffing costs
- Monitoring physician payouts and clinic overhead
- Identifying unusual expense increases
- Comparing current performance with previous periods
- Assisting with budgets and financial forecasts
- Helping develop practical cash-flow projections
- Preparing spreadsheets and management reports
- Providing accurate financial information for operational decisions
- Identifying opportunities to improve accounting processes and internal controls

You should be comfortable explaining financial information clearly to physicians and managers who may not be accountants.

QualificationsRequired

- Several years of progressively responsible bookkeeping or accounting experience
- Demonstrated experience with full-cycle bookkeeping/accounting
- Strong knowledge of QuickBooks Online
- Strong Microsoft Excel skills
- Experience with bank and credit-card reconciliations
- Accounts payable experience
- Payroll accounting experience
- Experience preparing month-end financial reports
- Understanding of HST and CRA-related accounting requirements
- Strong ability to investigate and reconcile discrepancies
- Excellent attention to detail
- Solid organizational and time-management skills
- Ability to manage multiple recurring financial deadlines
- Excellent written and verbal communication skills
- Ability to handle highly confidential employee, physician, corporate, and financial information
- Ability to work independently and take ownership of assigned responsibilities

Strong Assets

- Accounting diploma, degree, or equivalent professional education
- CPA designation, CPA studies, or substantial accounting experience
- Experience working with Dayforce
- Experience in healthcare, medical clinics, professional corporations, or other professional-service organizations
- Experience processing payroll for multiple employees
- Experience calculating payments to physicians, contractors, or other professionals
- Experience with physician billing or medical-practice accounting
- Experience preparing cash-flow forecasts and management reports
- Advanced Excel skills, including PivotTables, lookup functions, and financial analysis
- Experience improving accounting systems, workflows,



or internal controls

A CPA designation is not mandatory. Demonstrated competence, reliability, accounting knowledge, and practical experience are more important to us than designation alone.

The Person We Are Looking For

You are likely to succeed in this role if you:

- Notice when something does not reconcile and keep investigating until you understand why
- Prefer accurate records over approximate answers
- Keep track of deadlines without needing repeated reminders
- Can distinguish between completing a task and ensuring the underlying accounting is correct
- Are comfortable respectfully questioning an invoice, payment, payroll calculation, or unusual transaction
- Can organize financial information so another person can understand and verify your work
- Communicate problems early rather than allowing them to accumulate
- Understand the importance of confidentiality
- Can work independently while knowing when something should be escalated
- Look for ways to make recurring accounting processes simpler, safer, and more reliable

What Success Looks Like

Within the first several months, the successful candidate should be able to:

- Understand the clinic's existing accounting structure and financial workflows.
- Assume responsibility for routine bookkeeping and accounting activities.
- Ensure all major bank and balance-sheet accounts are fully reconciled.
- Establish a predictable accounts-payable and vendor-payment process.
- Maintain accurate payroll and physician-payment reconciliations.
- Produce dependable monthly financial statements and supporting schedules.
- Maintain a transparent picture of upcoming cash requirements.
- Ensure CRA, HST, payroll, and year-end accounting deadlines are appropriately tracked.
- Identify accounting discrepancies or unusual financial trends without waiting for management to discover them.
- Recommend practical improvements to financial processes and internal controls.

Why Join Us?

This position offers the opportunity to become a key member of the administrative team of an established, physician-owned healthcare organization.

The role has meaningful responsibility and direct access to senior management. The successful candidate will have the opportunity to improve systems, strengthen financial reporting, and play an important role in the ongoing operation and development of the clinics.

For an accounting professional who enjoys both hands-on accounting and understanding how a business actually operates, this is an opportunity to have a significant impact.

Schedule & Compensation

- Permanent part-time position
- Kitchener-Waterloo, Ontario
- Competitive compensation based on education, accounting experience, and demonstrated capability
- Specific schedule and work arrangement to be discussed with qualified candidates

How to Apply

Please submit your résumé through Indeed together with a brief cover letter outlining:

- Your experience with full-cycle accounting or bookkeeping
- Your experience with QuickBooks Online
- Your experience with payroll and accounts payable
- Your experience preparing monthly financial statements
- Any healthcare or professional-services accounting experience
- Your availability and preferred start date

Candidates selected for an interview may be asked to complete a brief practical accounting exercise involving reconciliations, transaction classification, Excel, and interpretation of financial information.

Applications from qualified candidates are welcome, and we are committed to a respectful and inclusive workplace.

Benefits:

- Casual dress
- Flexible schedule
- On-site parking

Work Location: Hybrid remote in Kitchener, ON (Waterloo District)

📌 Accounts manager /Senior Bookkeeper (Canada)
🏢 Family & Walk In Clinic
📍 Canada