Accountant I

Company: Mid Delta
Location: Clarendon
Posted on: February 18, 2026

Job Description:

Job Description Job Description Salary: POSITION SUMMARY: The Accountant I support the financial operations of the Health Center in compliance with the HRSA Health Center Program, Uniform Guidance (2 CFR Part 200), and generally accepted accounting principles (GAAP). This position is responsible for routine accounting functions including daily cash reconciliation, bank and grant reconciliations, fixed asset tracking, payroll support, journal entries, and audit preparation. The Accountant I play a key role in maintaining financial integrity, internal controls, and audit readiness. RESPONSIBILITIES: Financial Operations & Internal Controls Perform daily cash reconciliations to ensure accuracy of patient payments, deposits, and general ledger posting Complete monthly bank reconciliations and investigate and resolve discrepancies timely Prepare and log journal vouchers/journal entries in accordance with GAAP and Health Center policies Grant & Compliance Support Assist with grant reconciliation to ensure expenses align with approved HRSA Notices of Award (NOA) Support tracking of grant expenditures in compliance with Uniform Guidance (2 CFR Part 200) Maintain documentation to support allowability, allocability, and reasonableness of costs Fixed Assets Maintain and reconcile fixed asset records, including recording assets and disposals. Ensure compliance with federal asset tracking and record retention requirements Payroll & Documentation Payroll processing, reconciliations, and related financial reports Scan, index, and maintain financial and payroll records in accordance with HRSA record retention requirements Audit, OSV & Reporting Support Assist with preparation for annual audits, Operational Site Visits (OSV), and other compliance reviews Additional Duties Attend PCMH in-house training Perform other accounting and administrative duties as assigned to support Health Center operations QUALIFICATIONS: Associates degree (2-year degree) in Accounting, Business, Finance, or a related field required (Experience in bookkeeping/accounting can be used in place of education.) Prior accounting, bookkeeping, or finance experience preferred Experience in a healthcare, nonprofit, or grant-funded organization preferred but not required Strong mathematical and analytical skills with high attention to detail Ability to organize online computer files and have strong computer skills Basic proficiency in Microsoft Excel (simple formulas, sorting, filtering, basic spreadsheets) Ability to follow established accounting procedures and internal controls Understanding of confidentiality requirements related to payroll and financial data Ability to meet recurring deadlines in a regulated environment Willingness to learn HRSA Health Center Program requirements and grant compliance standards On the job training is provided COMPLIANCE STATEMENT All duties must be performed in accordance with the HRSA Health Center Program Compliance Manual, applicable federal and state regulations, Health Center policies and procedures, and generally accepted accounting principles (GAAP).

Keywords: Mid Delta, Little Rock , Accountant I, Accounting, Auditing , Clarendon, Arkansas