Payroll & Billing Accounting Specialist (WFH)

The Payroll & Billing Accounting Specialist will support the finance operations of a growing home care services organization, with primary responsibility for payroll processing, client billing, accounts receivable, and related accounting operations. This role will work closely with the Finance Director, Care Coordinators, and Operations leadership to ensure accurate, timely, and compliant financial processes across a multi-entity, private-pay healthcare environment. The position is designed to support business growth, recent acquisitions, and increased operational complexity.

Key Responsibilites:

Coordinate with the Finance Director to support bi-weekly payroll processing, including employee onboarding and offboarding, assignment to departments and cost centers, and maintenance of employee records.

Process and support end-to-end payroll activities for a workforce of approximately 200–300 employees, ensuring accuracy, timeliness, and compliance.

Oversee employee maintenance activities related to payroll, including new hires, resignations, role changes, PTO, sick time, and wage garnishments.

Manage and oversee all payroll-related activities within Paycom, including PTO and sick time tracking, document and task management, and wage garnishments.

Work closely with Care Coordinators to finalize caregiver schedules and ensure accurate and proper use of WellSky for scheduling, payroll, and billing purposes.

Prepare, review, and manage weekly client billing and invoicing for private-pay home care services across approximately 150 active clients.

Coordinate with Care Coordinators to validate schedules, approved hours, and client-specific pricing prior to billing.

Manage accounts receivable (AR) processes, ensuring timely and accurate invoicing and achievement of established AR days targets.

Communicate directly with clients and client families, including Power of Attorney (POA) contacts, to resolve billing inquiries, corrections, late payments, collections, and check deposits.

Serve as a primary point of contact for client billing questions and collection-related issues, handling sensitive matters with professionalism and discretion.

Maintain overall responsibility for Long-Term Care Insurance (LTCI) coordination, including:

○ Following up with clients and families to collect insurance contact information

○ Submitting invoices, completed care notes, proof of licensure, and liability documentation to LTCI providers

○ Following up with LTCI companies on reimbursement issues, denials, or questions on behalf of clients or their POAs

Reconcile payroll, billing, and related accounting reports; identify discrepancies and work with internal stakeholders to resolve issues.

Support month-end accounting activities related to payroll, billing, and revenue recognition.

Maintain accurate and confidential payroll and billing records in compliance with internal controls, healthcare standards, and regulatory requirements.

Coordinate with internal stakeholders to address payroll questions, billing adjustments, and operational clarifications.

Assist with transition and knowledge transfer from departing payroll and billing resources.

Support finance leadership with ad hoc accounting tasks, reporting, and process improvement initiatives as needed.