Payroll and Billing Specialist

America's Home Health Services•Elkins Park, PA

2d•Remote

About The Position

We are seeking a detail-oriented and organized Payroll and Billing Specialist to join our growing non-skilled home care agency team. This role is responsible for managing caregiver payroll, client billing, EVV verification, and reimbursement processing while ensuring compliance with Medicaid, payer, and agency requirements. The ideal candidate must have hands-on experience with HHAExchange and a strong understanding of home care operations.

Requirements

Minimum 2 years of payroll and billing experience in home care or healthcare
Working knowledge and hands-on experience with HHAExchange
Understanding of Medicaid billing, EVV requirements, and home care compliance standards
Experience processing caregiver payroll and resolving payroll discrepancies
Strong attention to detail and organizational skills
Ability to manage multiple tasks and meet strict deadlines
Proficient in Microsoft Office, especially Excel and Outlook
Excellent communication and problem-solving skills
Ability to work independently and collaboratively in a fast-paced environment

Nice To Haves

Experience in a non-skilled home care agency environment
Knowledge of private pay billing and insurance claim processes
Familiarity with payroll systems such as ADP, Paychex, or similar platforms

Responsibilities

Process weekly payroll for caregivers and field staff accurately and on time
Primary backup to Director of Payroll and Billing
Manage client billing for Medicaid, private pay, and other payer sources
Review and verify Electronic Visit Verification (EVV) records for accuracy and compliance
Utilize HHAExchange to maintain schedules, verify visits, resolve exceptions, and process claims
Investigate and resolve payroll discrepancies, billing issues, denied claims, and missing documentation
Coordinate with schedulers, caregivers, and management to ensure accurate timekeeping and authorization usage
Monitor authorizations, service hours, and payer requirements to prevent billing errors
Prepare and submit invoices and claims in accordance with agency and payer deadlines
Maintain accurate employee and client records while ensuring confidentiality and HIPAA compliance
Generate payroll, billing, and operational reports for management as needed
Assist with audits and documentation requests from payers and regulatory agencies
Support office operations and administrative tasks as assigned