Bookkeeper Jobs at CHRISTUS Health with Visa Sponsorship
Bookkeeper jobs at CHRISTUS Health involve managing financial records, reconciliations, and compliance reporting across its hospital and clinic network. The organization has a track record of sponsoring work visas for finance and accounting roles, making it a realistic target if you're building a long-term U.S. career in healthcare accounting.
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Summary:
The Accountant II is responsible for preparing general ledger month-end journal entries relevant to their assigned functional accounting team in accordance with Generally Accepted Accounting Principles.
Functional Accounting Teams are as follows:
- Cash Accounting
- Fixed Assets Accounting
- Corporate Accounting
- Payroll Accounting
- Investments and Foundation Accounting
- Prepaid Asset, Deferred Revenue, and Notes Payable Accounting
- Inventory and Supplies Accounting
- Physician Guarantees and Physician Fees Accounting
- Purchased Services and Non-Patient Accounts Receivable Accounting
- Contract Labor and Utilities Accounting
- Joint Venture Accounting
- Intercompany Accounting, Allocations, and Eliminations
- Lease Accounting
- Technical Accounting
- Health Plan Accounting
- Physician Group Accounting
- Grant Accounting
This job requires an understanding of United States Generally Accepted Accounting Principles (US GAAP). The Accountant II should be able to demonstrate an understanding of the purpose of the journal entries they are recording to the general ledger, evaluate the appropriateness of the entry (including the GL accounts used and the financial statement line item classification), and explain the impact to the financial statements. They are responsible for ensuring appropriate and relevant supporting documentation is attached to the journal entry. The Accountant II is responsible for evaluating the source of the information for their journal entries and asking appropriate follow-up questions to ensure documentation is appropriate. In some cases, appropriate support will include developing estimates of the current month activity based on financial analysis of historical data. The Accountant II is expected to develop an understanding of healthcare specific accounting issues relevant to the assigned functional accounting area. Previous healthcare experience is preferred but not required. The Accountant II is responsible for analyzing and providing variance explanations (from budget and trend) related to assigned areas to the accounting leads and managers for month-end review. The Accountant II is expected to seek out learning opportunities and be open to constructive feedback to improve overall performance and expand their knowledge of US GAAP.
The Accountant II is responsible for completion of monthly balance sheet account reconciliations related to the assigned functional accounting area. The Accountant II is responsible for assisting the accounting lead and manager with information requests from other teams across the System (both at the corporate office and at our facilities), as needed. The Accountant II is responsible for other projects, as assigned, which may include but are not limited to: research of GL transactions to understand the impact to the GL, process improvement projects, and assistance for the year-end external audit. The job requires excellent written and verbal communication skills.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Prepare month-end journal entries in accordance with US GAAP, with complete and accurate supporting documentation.
- Perform variance analysis on assigned accounts to both budget and trend and provide explanations to their Lead and Manager for month-end review of financial statements.
- Prepare month-end balance sheet reconciliations.
- Assist accounting lead and manager with information requests from other teams across the System (both at the corporate office and at our facilities) as needed.
Job Requirements:
Education/Skills
- Bachelor's Degree in Accounting or equivalent required.
Experience
- 2 years of accounting experience required.
- General Ledger accounting and Healthcare accounting experience preferred.
Licenses, Registrations, or Certifications
- Candidates seeking CPA license preferred; some assistance available for those seeking licensing.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
Description
Summary:
The Accountant II is responsible for preparing general ledger month-end journal entries relevant to their assigned functional accounting team in accordance with Generally Accepted Accounting Principles.
Functional Accounting Teams are as follows:
- Cash Accounting
- Fixed Assets Accounting
- Corporate Accounting
- Payroll Accounting
- Investments and Foundation Accounting
- Prepaid Asset, Deferred Revenue, and Notes Payable Accounting
- Inventory and Supplies Accounting
- Physician Guarantees and Physician Fees Accounting
- Purchased Services and Non-Patient Accounts Receivable Accounting
- Contract Labor and Utilities Accounting
- Joint Venture Accounting
- Intercompany Accounting, Allocations, and Eliminations
- Lease Accounting
- Technical Accounting
- Health Plan Accounting
- Physician Group Accounting
- Grant Accounting
This job requires an understanding of United States Generally Accepted Accounting Principles (US GAAP). The Accountant II should be able to demonstrate an understanding of the purpose of the journal entries they are recording to the general ledger, evaluate the appropriateness of the entry (including the GL accounts used and the financial statement line item classification), and explain the impact to the financial statements. They are responsible for ensuring appropriate and relevant supporting documentation is attached to the journal entry. The Accountant II is responsible for evaluating the source of the information for their journal entries and asking appropriate follow-up questions to ensure documentation is appropriate. In some cases, appropriate support will include developing estimates of the current month activity based on financial analysis of historical data. The Accountant II is expected to develop an understanding of healthcare specific accounting issues relevant to the assigned functional accounting area. Previous healthcare experience is preferred but not required. The Accountant II is responsible for analyzing and providing variance explanations (from budget and trend) related to assigned areas to the accounting leads and managers for month-end review. The Accountant II is expected to seek out learning opportunities and be open to constructive feedback to improve overall performance and expand their knowledge of US GAAP.
The Accountant II is responsible for completion of monthly balance sheet account reconciliations related to the assigned functional accounting area. The Accountant II is responsible for assisting the accounting lead and manager with information requests from other teams across the System (both at the corporate office and at our facilities), as needed. The Accountant II is responsible for other projects, as assigned, which may include but are not limited to: research of GL transactions to understand the impact to the GL, process improvement projects, and assistance for the year-end external audit. The job requires excellent written and verbal communication skills.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Prepare month-end journal entries in accordance with US GAAP, with complete and accurate supporting documentation.
- Perform variance analysis on assigned accounts to both budget and trend and provide explanations to their Lead and Manager for month-end review of financial statements.
- Prepare month-end balance sheet reconciliations.
- Assist accounting lead and manager with information requests from other teams across the System (both at the corporate office and at our facilities) as needed.
Job Requirements:
Education/Skills
- Bachelor's Degree in Accounting or equivalent required.
Experience
- 2 years of accounting experience required.
- General Ledger accounting and Healthcare accounting experience preferred.
Licenses, Registrations, or Certifications
- Candidates seeking CPA license preferred; some assistance available for those seeking licensing.
Work Schedule:
8AM - 5PM Monday-Friday
Work Type:
Full Time
See all Bookkeeper Jobs at CHRISTUS Health
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Bookkeeper Jobs at CHRISTUS Health.
Get Access To All JobsTips for Finding Bookkeeper Jobs at CHRISTUS Health
Align your credentials with healthcare accounting standards
CHRISTUS Health operates under strict financial compliance requirements specific to healthcare systems. Highlighting experience with fund accounting, cost reporting, or healthcare revenue cycles on your resume signals you understand the regulatory environment, which strengthens your candidacy before sponsorship even enters the conversation.
Target facility-level postings not just corporate roles
CHRISTUS Health's Bookkeeper openings span individual hospitals, clinics, and regional offices. Facility-level roles often have faster hiring timelines than centralized finance positions, and hiring managers at that level have more direct authority to move a sponsorship conversation forward early.
Verify your employer's E-Verify enrollment before accepting
H-1B sponsorship requires the employer to be registered with E-Verify. Confirm CHRISTUS Health's enrollment status before signing any offer letter. An offer that excludes visa sponsorship language is not a sponsorship commitment, regardless of what was discussed verbally.
Understand the PERM timeline for Green Card pathways
If your goal is permanent residency through EB-2 or EB-3, the PERM labor certification process adds 12 to 18 months before USCIS even sees a petition. Factor this into your H-1B renewal planning so you're not caught between status expiration and a pending green card application.
Use Migrate Mate to filter Bookkeeper openings by sponsorship history
Searching general job boards won't show you which postings have a real sponsorship track record. Migrate Mate lets you filter CHRISTUS Health's Bookkeeper roles specifically by visa type, so you can prioritize applications where H-1B or Green Card sponsorship has been offered before.
Raise sponsorship requirements before the final offer stage
Healthcare finance hiring at large systems like CHRISTUS Health typically involves multiple interview rounds. Confirm that the role includes sponsorship with the recruiter after the second round, not at the offer stage. Waiting until an offer arrives creates delays that can stall or kill the process entirely.
Frequently Asked Questions
Does CHRISTUS Health sponsor H-1B visas for Bookkeepers?
Yes, CHRISTUS Health has sponsored H-1B visas for Bookkeeper and related finance roles. Bookkeeper positions can qualify as specialty occupations under H-1B rules when the role requires a bachelor's degree in accounting, finance, or a closely related field. You'll need to confirm sponsorship is included in the specific job posting, as not every opening at every facility is structured identically.
How do I apply for Bookkeeper jobs at CHRISTUS Health?
Applications go through CHRISTUS Health's careers portal, where Bookkeeper roles are listed by facility and region. Before applying, use Migrate Mate to identify which open positions have a sponsorship track record for your visa type. Tailoring your resume to highlight healthcare-specific accounting experience, such as cost reporting or compliance reconciliation, increases your chances of passing initial screening.
Which visa types are commonly used for Bookkeeper roles at CHRISTUS Health?
H-1B is the most common nonimmigrant visa used for Bookkeeper roles at CHRISTUS Health. For candidates seeking permanent residency, CHRISTUS Health has also filed EB-2 and EB-3 petitions for finance and accounting positions. EB-3 is frequently used for roles that require a bachelor's degree but don't meet the advanced degree or exceptional ability thresholds required for EB-2.
What qualifications does CHRISTUS Health expect for sponsored Bookkeeper roles?
CHRISTUS Health typically looks for a bachelor's degree in accounting, finance, or business administration for Bookkeeper positions that include visa sponsorship. Practical experience with general ledger reconciliation, accounts payable and receivable, and financial reporting is expected. Familiarity with healthcare billing systems or nonprofit fund accounting is an advantage given CHRISTUS Health's structure as a Catholic nonprofit health system.
How long does the visa sponsorship process take for a Bookkeeper role at CHRISTUS Health?
For H-1B, the employer files the petition after October 1 for the following fiscal year, with a lottery in March. Standard USCIS processing runs three to six months. Premium processing reduces that to 15 business days. If you're pursuing a Green Card through PERM, expect the full process from labor certification to I-140 approval to take two to three years, depending on your priority date and country of birth.