Senior Accountant - Compensation (Fully Remote)

Who We Are

Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. Our proprietary platform, Telemed IQ, enables life-saving patient care and empowers healthcare organizations to build and scale telemedicine programs across virtually any clinical specialty.

We deliver industry-leading solutions that improve clinical care, patient outcomes, and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission’s Gold Seal of Approval—and to have maintained that accreditation every year since inception.

We love what we do. To learn more about our vision, mission, and values, visit accesstelecare.com.

The Opportunity

We’re seeking a highly motivated and detail-oriented Senior Accountant to join our Compensation team. You should know your numbers, own your work, communicate effectively, and thrive in a fast-paced environment where accuracy matters. This role plays a key part in keeping compensation operations running smoothly and ensuring our financial processes stay tight and reliable.

The ideal candidate has hands-on experience computing clinical productivity pay and can confidently handle calculation for both W-2 and 1099 clinicians. You will prepare and maintain financial records relating to the Company’s COGS. You will report to the Clinical Compensation Manager and must be comfortable working in a fully remote environment.

What You’ll Do

• Calculate productivity pay for clinical providers (W-2 and 1099).
• Create billing contracts in Salesforce.
• Prepare monthly physician invoices.
• Coordinate and lead compensation review sessions with internal departments.
• Assists with month-end and year-end close processes, ensuring deadlines are met.
• Perform monthly account reconciliations.
• Maintain up-to-date knowledge of accounting practices, and compliance requirements.
• Handle sensitive company and provider information with professionalism and confidentiality.
• Manage multiple assignments and deadlines with strong organization and time-management skills.
• Perform other duties as assigned.

What You’ll Bring

• Bachelor’s degree in accounting, or related field required
• At least 2-3 years of related experience as a Senior Accountant required
• Intermediate to advanced Excel abilities (formulas, power query, data tools).
• Strong work ethic, self-motivation, and a problem-solving mindset.
• Highly organized with exceptional attention to detail.
• Ability to work effectively under deadlines and manage multiple projects independently.
• Knowledge of general and cost accounting principles.
• Understanding of and adherence to GAAP.
• Ability to correctly register for and maintain local and state payroll taxes (SIT, SUI).
• Strong communication skills and the ability to collaborate well with internal teams, hospitals, and vendors.
• Proficiency with Microsoft Office, NetSuite, ADP, and Salesforce is a plus.
• Must be able to remain in a stationary position 50% of the time
• Occasional travel for meetings and collaboration

Why Join Access TeleCare?

• 100% remote role with national impact and executive visibility
• Comprehensive benefits: health, dental, vision, life insurance, and 401(k)
• Flexible vacation and wellness days—we value outcomes and balance
• A culture of ownership, transparency, and results—where the best ideas rise

Access TeleCare, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, marital status, national origin, disability, protected veteran status, race, religion, sex, or any other characteristic protected by applicable laws, regulations, and ordinances. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.