Jobs › Southern Illinois Healthcare
Senior Accountant, Full Time
Posted Sep 23, 2026 · We last checked this listing on Oct 6, 2026
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Likely interview questions for this role
Written from this job description, not a generic list. Each one notes what the interviewer is really checking.
About your past
Tell me about a balance sheet reconciliation where the numbers didn't tie. How did you find the difference?
What they are checking: Whether they dig to the root cause of a variance instead of plugging it to make the reconciliation balance.
This role is remote. How do you keep your work visible and stay connected to a finance team you rarely see in person?
What they are checking: Whether they communicate proactively enough that remote work does not create gaps or surprises at close.
Tell me about a time you built or improved an accounting process or report that others came to rely on.
What they are checking: Whether they can develop and improve systems, which the posting names as part of the job, not just follow existing ones.
SIH lists stewardship and accountability as standards. What does stewardship mean to you in a hospital finance role?
What they are checking: Whether they connect careful accounting to the nonprofit health system's ability to fund patient care.
What would you do
An invoice comes to you for payment without the approval it needs, and the department says it's urgent. What do you do?
What they are checking: Whether they hold the line on controls while still helping a department solve a real problem.
You notice a cash account has a small unexplained difference that has carried over for several months. How would you handle it?
What they are checking: Whether they treat small lingering items as real risks rather than tolerating them because they look immaterial.
About the work
You'd be coordinating the general ledger for every SIH entity. Walk me through how you'd organize a month-end close across several related entities.
What they are checking: Whether they can run a multi-entity close in order, including intercompany entries, rather than treating each ledger alone.
How do contractual allowances and bad debt reserves on patient AR flow through the balance sheet and income statement?
What they are checking: Whether they understand healthcare revenue accounting, where gross charges rarely match what payers actually pay.
What do you consider appropriate supporting documentation for a journal entry you post?
What they are checking: Whether their entries would stand up to an auditor who was not in the room when they were made.
How do you decide whether a purchase should be capitalized or expensed, and how do you monitor capital transactions once they're on the books?
What they are checking: Whether they apply a capitalization policy consistently and track assets through depreciation and disposal.
How have you handled sales tax returns in past roles, and what errors have you seen people make with them?
What they are checking: Whether they have actually prepared filings and know where tax compliance quietly goes wrong.
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As published by Southern Illinois Healthcare.
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