Staff Accountant

Northwest Ambulance is building its accounting department from the ground up. Everything was outsourced; now it is not. We have a Controller, an Accounting Manager, and a Payroll Manager. This seat is the fourth, and it exists because three things need an owner: the money going out, proving that the money coming in was recorded correctly, and a trained second person who can run payroll when the Payroll Manager cannot.

This is not a role where you process a queue someone else designed. The processes are being built now, and you will help build them: how invoices get coded, how the vendor file is maintained, and how we prove each month that what our billing company says it collected is what actually reached the bank.

We are a growing ground ambulance company with roughly 430 employees across four Washington locations, about 350 payable documents a month, and a revenue cycle that runs through a third-party billing partner. The work is real and there is a lot of it.