Bookkeeper Jobs in Nashville, TN
Bookkeeper jobs in Nashville are in steady demand, with openings concentrated in Midtown, the Gulch, and downtown's SoBro district across healthcare, hospitality, and professional services firms. Employers hiring right now include AmSurg, OneOncology, and Aramark. See the openings below and apply to the ones that match your experience.
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Staff Accountant
Remote-Centric Hybrid, Nashville, TN
AMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner with physicians and health systems to deliver the highest standards of patient care and quality. For more information, please access our website: https://www.amsurg.com/ (https://www.amsurg.com/).
Through AMSURG, our clinician-led organization is changing the face of healthcare by delivering high-quality care that puts the patient first.
Summary:
This entry level accounting position is responsible for the accounting and financial functions of assigned ambulatory surgery centers. Duties include oversight of daily accounting activity, monthly financial reporting, cash management, bank reconciliations, budget analysis, and work paper presentation. This position may also provide the opportunity to participate in various special projects and financial analysis.
Work Schedule: Remote-Centric Hybrid: Teammates primarily work from home but go to the office 2-3 times a month.
Essential Responsibilities:
- Primary resource for center personnel regarding financial issues.
- Cash management and maintenance of proprietary cash management system for depository bank account.
- Manage inflow and outflow of cash for assigned surgery centers, including facilitating the movement of funds to appropriate bank accounts.
- Financial Statement Preparation including:
- Creating all general ledger journal entries necessary to generate financial statements.
- Preparing assigned center’s cash flow statements, reviewing for accuracy.
- Analyze end of month financial package received from centers and create appropriate general ledger entries including:
- Analyzing, understanding, and reporting any large variations identified in the financial package to management.
- Asset Management including:
- Reconciling fixed asset costs and accumulated depreciation accounts to depreciation schedule.
- Reviewing physical inventory counts and creating appropriate general ledger entries.
- Researching and understanding any large variances in inventory levels.
- Income statement trend analysis and preparation of notes for review of center’s financial reports with a member of management.
- Mid-month cash analysis to distribute available cash to partners monthly.
- Reconcile all bank accounts for assigned centers from the bank statements to the general ledger including:
- Investigating and correcting any differences identified through the reconciliation process.
- Identifying process or control issues surrounding cash variances.
- Train center personnel on best practices when irregularities are identified.
- Monthly analysis of balance sheet accounts, reconciling if needed.
- Monthly analysis of recorded accounts receivable balances, reconciling if needed.
- Payroll and Benefits Activity including:
- Analyze and record center payroll and benefits.
- Research and understand variations in department totals or atypical per procedure variations.
- Facilitate or assist in payroll and benefit transitions.
- Legal agreement interpretation including:
- Auditing internal documentation regarding legal documents for assigned centers.
- Lease analysis.
- Debt Maintenance.
- Research and assist with specific center analysis.
- Monitor and implement changes regarding incorrect practices being performed at a center once identified.
- Regular and reliable attendance required.
- Must be able to work onsite when requested.
KNOWLEDGE AND SKILLS:
To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required:
EDUCATION/EXPERIENCE:
- Bachelor's Degree in Accounting from an accredited College or University.
- Public accounting or industry experience is a plus.
- Healthcare experience is also a plus.
OTHER QUALIFICATIONS:
Must be able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner. Must be able to work well with others. Strong verbal and written communication skills required. Must be detail oriented and organized. High integrity, including maintenance of confidential information. Must be able to exercise good judgment. Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance. Must pass a background check and drug screen.
Benefits:
At AMSURG, we offer benefits at the speed of your life. Our wide range of health and welfare benefits allow you to choose the right coverage for you and your family. Qualifying employees are eligible to enroll on the 1st of the month, following 30 days of employment. AMSURG offers a variety of health and welfare benefit options to help protect your health and promote your wellbeing. Benefits offered include but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA, Limited Healthcare FSA, FSAs for Transportation and Parking & HSAs, and a matching 401(K) Plan.
Paid Time Off:
AMSURG offers paid time off, 9 observed holidays, and paid family leave. You accrue Paid Time Off (PTO) each pay period and depending on your position and can earn a minimum of 20 days and up to 25 days per calendar year.
We are an Equal Opportunity Employer.
We do not discriminate in practices or employment opportunities on the basis of an individual's race, color, national or ethnic origin, religion, age, sex, gender, sexual orientation, marital status, veteran status, disability, or any other prohibited category set forth in federal or state regulations.
#LI-HD1
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.
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Find Bookkeeper JobsBookkeeper Job Market in Nashville
Who's Hiring
- AmSurg11

- OneOncology11

- Aramark5

- RockForce5

- Technology Lab5

Top Industries Hiring
- Investment & Asset Management
Bookkeeper Jobs in Nashville: Frequently Asked Questions
How do I get a bookkeeper job in Nashville?
Focus your search on Nashville's healthcare systems, music and entertainment companies, hospitality groups, and the construction firms headquartered around the Gulch and Brentwood. Employers here lean toward candidates who are comfortable with QuickBooks or Sage and have experience reconciling accounts in high-transaction environments. Familiarity with Tennessee's business tax reporting and multi-entity structures gives you a clear edge in this market.
Which companies hire bookkeepers in Nashville?
Nashville bookkeeper roles are posted by AmSurg, OneOncology, and Aramark and others right now, based on current listings on Migrate Mate as of November 2026. The local mix runs from regional healthcare systems and hotel management groups to independent CPA firms serving Nashville's fast-growing small business community.
Are there remote bookkeeper jobs in Nashville?
Yes, though availability depends on the role. Bookkeeping lends itself well to remote work when it is focused on data entry, reconciliation, and reporting, while positions tied to cash handling or on-site payroll tend to require a physical presence. About 86% of bookkeeper openings tied to Nashville are remote or hybrid as of November 2026, with SaaS companies and multi-location hospitality groups posting the most flexible arrangements.
How can I get a bookkeeper job in Nashville with little or no experience?
The most realistic entry path in Nashville is landing an accounts payable or accounts receivable clerk role with one of the city's many mid-size healthcare or construction firms, which regularly hire junior bookkeeping staff. Nashville's active small business scene in East Nashville and 12South also means local retailers and restaurants frequently bring on part-time bookkeepers without requiring prior professional experience. Completing a QuickBooks certification before you apply makes a measurable difference when competing for these openings.
Which industries hire the most bookkeepers in Nashville?
Nashville bookkeeper roles concentrate in Investment & Asset Management, based on current listings on Migrate Mate as of November 2026. Nashville's status as a hub for healthcare administration, touring entertainment, and rapid commercial real estate development keeps demand for bookkeeping talent consistently above national averages in those sectors.
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