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Senior Accountant, Full Time

Southern Illinois Healthcare · Remote · $58,739–$91,042 a year · 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.

Practice this interview out loud.

Offer builds a real interview for this exact role at Southern Illinois Healthcare from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

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The full job description

As published by Southern Illinois Healthcare.

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary • Responsible for coordinating the activities of the general ledger for all SIH entities including developing, implementing and monitoring accounting systems for financial reporting. Principal Accountabilities • Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education • Bachelor’s degree in Accounting Licenses and Certification • N/A Experience and Skills • Technical Experience: 3 years Accounting, 1 year Healthcare Accounting preferred Physical Activities • Intermittent hand manipulation required • Intermittent lifting and carrying of 20 pounds which can be modified Role Specific Responsibilities • Prepares and posts journal entries with appropriate supporting documentation. • Analyzes all balance sheet accounts and prepares account reconciliations with appropriate supporting documentation and understands the relationships which exist. • Processes properly approved and documented invoices and payment requests, including sales tax returns. • Monitors capital related transactions. • Analyzes AR and contractual accounts including balance sheet and income statement reserves, and understands the relationships which exist. • Monitors cash related transactions. • Monitors physician receivables and completes reports as required. • Monitors grants, restricted donations and agency funds, completing reports as required. • Analyzes and prepares Hospital Auxiliary financial data. • Analyzes income statement account variances, determines operational explanation and corrects when appropriate. • Analyzes, prepares and distributes financial reports. • Collaborates with management, auditors, and others to answer questions and articulate variances regarding all aspects of the financial statements. • Monitors and processes closing of Workday applications, including allocations, in conjunction with month-end close. • Maintains accurate, easy to follow, electronic procedures for each responsibility. • Demonstrates ownership of work and interest in operational aspects of organization. • Develops new processes, disciplines and guidelines to ensure standardization of best practices. • Takes external information and turns it into effective internal plans and actions. Interprets knowledge to anticipate opportunities and needs. • Insures compliance with standards. Defines and monitors processes to foster results. • Establishes and develops disciplines, sign off points and best practices to maximize results. • Develops positive, cooperative relationships across functional boundaries. Strives to work with peers, partners, and others to positively impact business performance. • Understands the value of team work and instills collaborative practices throughout the organization. Builds and facilitates enduring partnerships across the organization. • Focuses, aligns and builds effective teams. Drives results through motivation and communication. • Builds strong relationships, mobilizing others to action and inspiring commitment and engagement. • Demonstrates the ability to effectively convey complex ideas, communicate a vision and achieve buy-in and enthusiasm from groups of people. • Possess a significant understanding of change management. • Demonstrates the capacity to break down organizational barriers. Innovative in achieving results. • Communicates a clear vision, motivates other to take on new opportunities. • Strives to develop and advance their professional ability. Makes decisions aligned with the vision, mission, values of SIH. • Seeks performance and behavior feedback to continually improve. Possesses self-awareness, emotional intelligence and relational aptitude. • Understands business fundamentals and drivers of the financial and operational success of SIH. • Understands the significant need to provide high quality care and service to SIH’s patients while recognizing the need to meet financial and operational needs. Compensation (Commensurate with experience): $58739.2 To $91041.6 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits

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