Billing & Payroll Specialist

Caregivers•Indianapolis, IN

22h•$52,000 - $61,000

About The Position

Caregivers, providing the best homecare in Indianapolis since 1990, is seeking an experienced Billing & Payroll Specialist to manage the financial operations that support our homecare services across central Indiana. This role is responsible for Medicaid billing, payroll processing for staff, and maintaining accurate financial records across multiple systems. The ideal candidate has 2-5 years of billing experience , preferably within homecare, healthcare, or Medicaid/Medicaid Pathways-funded services , and thrives in a detail-oriented, process-driven environment. This position plays a critical role in ensuring staff are paid accurately and on time while maintaining compliant billing practices with Medicaid and other payers.

Requirements

2–5 years of billing and/or payroll experience
Experience with medical billing, Medicaid billing, or healthcare billing
Strong proficiency in Microsoft Excel
Experience using QuickBooks
Experience with ADP or similar payroll systems
Experience working with EHR systems
Exceptional attention to detail and organizational skills
Strong problem-solving and communication skills

Nice To Haves

Experience working in homecare or home health agencies
Knowledge of Indiana Medicaid billing procedures
Familiarity with caregiver scheduling and visit verification systems

Responsibilities

Process and submit Medicaid, Medicaid Pathways, and other insurance billing for homecare services
Review service documentation and EHR data to ensure billing accuracy and compliance
Investigate and resolve billing discrepancies or claim denials
Track receivables and follow up on outstanding claims
Maintain accurate billing records and reporting
Process weekly payroll for caregivers and office staff
Review timesheets and visit records within the EHR system
Ensure payroll compliance with state and federal regulations
Manage payroll through ADP or similar payroll systems
Handle payroll corrections, adjustments, and reporting
Utilize QuickBooks for financial recordkeeping
Maintain payroll and billing reports in Excel
Work within the company EHR platform to validate services and visit records
Generate financial and operational reports for leadership
Maintain strong attention to detail in billing and payroll processing
Ensure compliance with Medicaid billing requirements
Maintain accurate documentation for audits and internal review
Identify process improvements to increase efficiency and reduce billing errors