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Sr Cash Accountant

Carle Health
$30.54 - $52.53 / hr
United States, Illinois, Champaign
Oct 22, 2026
Overview

The Senior Cash Accountant supports centralized cash management by reconciling bank accounts, recording cash activity, resolving variances, and maintaining audit-ready documentation. This role partners with Accounting, Treasury, Patient Financial Services, Grants, Payroll, and operational teams to ensure cash transactions are accurate, timely, and properly recorded while supporting process improvement and automation.
Qualifications

Certifications: , Education: Bachelor's Degree: Finance; Bachelor's Degree: Accounting, Work Experience: Finance; Accounting
Responsibilities

Prepare and review timely bank reconciliations for assigned cash accounts.
Research, analyze, and resolve complex reconciling items, unidentified transactions, outstanding checks, fees, transfers, and posting discrepancies.
Record and review cash transactions and journal entries with accurate account, entity, worktag, grant, and period coding.
Compare and reconcile bank, general ledger, revenue, payroll, treasury, grant, and other source records to ensure complete and accurate cash activity.
Prepare and review cash account reconciliations and supporting schedules for month-end and year-end close processes.
Analyze cash activity, account balances, and reconciliation trends; identify root causes and recommend corrective actions.
Meet close deadlines and promptly escalate unresolved differences, control concerns, compliance issues, or financial risks.
Partner across operational departments to resolve complex cash issues and improve transaction flow.
Support internal and external audits by providing documentation, reconciliations, analyses, and transaction support.
Ensure compliance with internal controls, accounting policies, and regulatory requirements governing cash management activities.
Lead or support automation initiatives, system implementations, and process improvements related to cash management operations.
Collaborate with Treasury, Revenue Cycle, Grants, Research, Foundation, Payroll, and Accounting teams to ensure timely and accurate recording of cash activity. Manage and monitor non-patient cash transactions, including grants, research funding, philanthropic contributions, endowment receipts, and other organizational cash receipts. Investigate and resolve complex cash application issues, reconciliation discrepancies, and payment exceptions across multiple systems and departments. Serve as a subject matter expert for cash management processes, Workday Financial Management functionality, and cash-related accounting procedures. Assist with Workday testing, upgrades, implementations, and workflow enhancements affecting cash management and banking processes. Develop, maintain, and recommend improvements to cash management procedures, reconciliation standards, and internal control documentation. Provide guidance, training, and knowledge sharing to junior accountants and other finance staff regarding cash management processes and best practices.
About Us

Find it here.

Discover the job, the career, the purpose you were meant for. At Carle Health, we're committed to fostering a workplace where every team member feels valued, respected and empowered, where passion and purpose come together to positively impact the lives of our patients and our communities. Find it all at Carle Health.

Our nearly 17,000 team members and providers work together to support patient care across central and southeastern Illinois. We've grown to include eight, award-winning hospitals and a multispecialty provider group with more than 1,500 doctors and advanced practice providers. We're developing the next generation of providers and healthcare professionals through Carle Illinois College of Medicine, the world's first engineering-based medical school, and Methodist College. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.


Compensation and Benefits

The compensation range for this position is $30.54per hour - $52.53per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.
Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.
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