Accounting & Finance Specialist

Position Summary

The Accounting & Finance Specialist supports the organization’s financial operations, with primary responsibility for payroll administration, accounting, financial reporting, compliance, and budget support.

This position ensures accurate payroll processing and financial records, prepares reconciliations and reports, supports audits and budgeting, and provides backup assistance for Accounts Payables and Accounts Receivables.

The successful candidate will have strong analytical and organizational skills, exceptional attention to detail, effective communication skills, and the ability to maintain confidentiality while supporting the organization’s mission of providing exceptional emergency medical services.

Essential Duties &

Responsibilities

• Administer biweekly payroll for approximately 120 employees, including deductions, benefits, leave balances, garnishments, reporting, and year-end W-2 processing.
• Maintain accurate payroll and accounting records and support compliance with applicable laws, regulations, and organizational policies.
• Prepare account reconciliations, journal entries, financial schedules, reports, and employee reimbursements.
• Assist with monthly and year-end financial close and budget-related activities as directed.
• Provide financial information, records, and documentation to the organization’s accounting partner, external auditors, and other authorized parties as needed.
• Assist with financial reporting, analysis, and other accounting functions under the guidance of the organization’s accounting partner.
• Support ambulance billing and revenue cycle activities, including reimbursement monitoring and Medicare/Medicaid reporting.
• Provide backup support for Accounts Payable and Accounts Receivable functions.
• Assist with maintaining effective internal controls, accurate financial records, and efficient accounting processes.
• Maintain confidentiality of payroll, financial, personnel, and other sensitive organizational information.
• Participate in cross-training, special projects, and other finance-related duties as assigned.

Qualifications

Required

Bachelor’s degree in Accounting, Finance, Business Administration, or related field. Five years of progressively responsible experience in accounting, finance, payroll, or a related field. Experience administering payroll for organizations with 100+ employees. Experience with reconciliations, journal entries, financial reporting, and supporting schedules.

Proficiency with Microsoft Excel, Microsoft Office, payroll systems, and accounting/financial management software. Ability to provide backup support for AP/AR functions.

Preferred

Experience in local government, special districts, public safety, healthcare, or EMS. Experience with Medicare, Medicaid, medical billing, or healthcare revenue cycle operations. CPP or FPC certification.

Knowledge, Skills & Abilities

• Strong knowledge of payroll, accounting principles, financial reporting, budgeting, and internal controls.
• Excellent analytical, organizational, communication, and problem-solving skills.
• Exceptional attention to detail and accuracy.
• Ability to prioritize multiple assignments, meet deadlines, and work independently.
• Ability to maintain confidentiality and build effective working relationships with employees, leadership, auditors, vendors, and external partners.

Working Conditions

This is an onsite position, performed primarily in a professional office environment. The position requires extended computer and desk work, with occasional meetings, training, budget workshops, or organizational events outside normal business hours.

Pre-Employment Testing and ScreeningFinal candidates will be required to successfully complete post-offer, pre-employment testing and screening in accordance with applicable federal and state law. These requirements may include:

• Job-related physical ability testing designed to evaluate the ability to perform essential job functions
• Post-offer medical examination, conducted in compliance with the Americans with Disabilities Act (ADA) and required of all candidates entering this job classification
• Drug and alcohol screening, as permitted by law
• Background investigation, including criminal history and motor vehicle record review
• Compensation
• Compensation: This is an hourly, non-exempt position in accordance with the Fair Labor Standards Act (FLSA). The annualized pay range for this role is $78,000.00 – $86,008.00, based on full-time employment.
• The starting hourly rate will be determined based on experience, education, certifications, and qualifications.
• Overtime is paid in accordance with applicable federal, state, and local laws.

Benefits IncludeDefined benefit pension plan and 457 deferred compensation plan with graduated employer match.

Medical, Dental, and Vision.

Employer-paid life insurance.

Employer paid short-term and long-term disability insurance.

Paid holidays and Paid Time Off.

Equal Employment Opportunity

(EEO) StatementThe Employer is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, age, national origin, ancestry, disability, genetic information, marital status, veteran status, or any other status protected by applicable federal, state, or local law.CLOSING DATE: August 30th, 2026Thompson Valley EMS is a 3rd service EMS agency operated by an Independent Health Services District.

We are the only Prehospital ALS Providers within our district and maintain a positive and collaborative relationship with partnering BLS Fire-Response and Law Enforcement agencies. Our standards of care are patient focused and guided by ethics, compassion, and evidence-based guidelines. Protocols are developed for and by TVEMS employees to remain relevant and progressive