Accounting and Payroll Specialist

Ascend Healthcare is committed to providing fully integrated, quality psychiatric and behavioral health services in a compassionate, convenient, and affordable manner.  We work with external partners to provide services to patients across the country through integrated psychiatric medication management, substance use disorder treatment, counseling services, peer support and care coordination for seamless patient care. We believe in a “no wrong door” treatment model which finds ways to say “yes” to any patient referral rather than a multitude of exclusionary criteria found elsewhere. This approach reflects our values of improved patient and clinician experience, better outcomes, and lower costs.

The Ascend Story  

Founded to transform mental health care access, Ascend Healthcare delivers integrated psychiatric and behavioral health solutions with a commitment to equity, compassion, and operational excellence. We partner directly with health centers to build fully integrated, sustainable behavioral health programs—bringing deep clinical expertise, operational support, and long-term stability.  

Our work environment fosters:  

Collaboration and teamwork  

Patient-First Mindset  

Work from home opportunities  

Career Growth and Professional Development Training  

Why Ascend?  

You’ll be joining a team delivering innovative, compassionate care to communities that need it most. At Ascend, your work drives real impact—and your career grows alongside it.  We believe in a “no wrong door” treatment model that finds ways to say “yes” to any patient referral rather than a multitude of exclusionary criteria found elsewhere.  

Position Overview:  

The Accounting & Payroll Specialist  plays a critical role in supporting the financial operations of Ascend Healthcare. This individual is responsible for ensuring accurate and timely accounting and payroll processes while maintaining strong internal controls and compliance standards. We are seeking a finance professional who is energized by improving systems, building scalable processes, and contributing ideas that strengthen operational efficiency.  

This role collaborates closely with Human Resources, Operations, and Leadership to ensure financial data is reliable and processes support the organization’s continued growth.  

Key Areas of Ownership:   

Manage the customer invoicing process, ensuring timely and accurate invoicing while identifying opportunities to improve workflow efficiency.  

Process accounts payable transactions with proper coding and documentation, maintaining strong financial controls.  

Oversee and execute payroll processing accurately and on schedule in coordination with Human Resources, ensuring compliance with federal and state requirements.  

Support month-end and year-end close activities, including reconciliations and journal entries, with a focus on improving accuracy and timeliness.  

Maintain accurate financial records within accounting systems and assist in enhancing reporting processes.  

Support annual audit preparation through organized documentation and well-structured processes.  

Maintain state and local tax registrations and assist with new registrations as business operations expand.  

Proactively recommend process improvements that strengthen controls, reduce manual effort, and increase operational efficiency.  

Communicate effectively with vendors, internal teams, and leadership, responding to inquiries and supporting day-to-day financial operations.  

Qualifications:   

2 or 4-year degree in Accounting or Finance, or equivalent and solid understanding of GAAP preferred  

2+ years of experience in a relevant position  

Demonstrated ability to identify process improvements and implement practical solutions.  

Advanced proficiency in Microsoft Excel  

Experience with NetSuite or other enterprise ERP systems preferred  

Prior experience with general accounting & payroll is preferred  

Strong organizational skills and attention to detail  

Interest in professional growth and expanding responsibilities as the organization evolves  

Physical Requirements: This is a fully remote position but may require in-person attendance as company needs arise. Please be aware the below physical requirements should be considered prior to applying to the position:  

Prolonged Sitting : Ability to sit for extended periods during working hours.  

Manual Dexterity : Good hand-eye coordination and manual dexterity for using a computer keyboard, mouse, and other office equipment.  

Visual Requirements : Adequate vision for reading computer screens and documents.  

Communication : Clear verbal and written communication skills for virtual meetings and correspondence.  

Hearing : Sufficient hearing ability for participating in phone calls or virtual meetings.  

Work Environment : Access to a quiet, dedicated workspace free from distractions with reliable internet connectivity.   

Perks  

Competitive Salary  

Medical, Dental, Vision, Life and LTD benefits  

PTO + Company Holidays  

Yearly CEU Stipend  

Collaborative Environment  

Remote-first setting  

Clinician Founded and Operated

Benefits:  

401(k)  

401(k) matching  

Dental Insurance  

Health insurance  

Life insurance  

Paid time off    

Vision insurance  

Job Type : Full-time

Compensation: $60,000-$70,000

Schedule : Monday- Friday 8am-5pm

Perks:

Medical, Dental, Vision, Life and LTD benefits

Company 401k Matching

PTO + Company Holidays

Collaborative Environment

Remote-first setting

Ascend Healthcare   is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances.

Ascend Healthcare participates in conducting comprehensive background checks and drug screenings for all potential employees as a contingency to gaining employment status.