Payroll & Billing Specialist

My Independence at Home•Philadelphia, PA

About The Position

Overview The Payroll & Billing Specialist is responsible for processing payroll accurately and on time while also managing billing for home care services. This role ensures compliance with all applicable payroll and billing regulations, maintains accurate records, resolves discrepancies, and collaborates closely with HR, scheduling, and management teams. The ideal candidate is highly organized, detail-oriented, discreet, and able to work independently in a fast-paced healthcare environment. Payroll Responsibilities Process weekly payroll for caregivers using payroll software Verify timesheets and calculate hours, overtime, and deductions Maintain and update employee payroll records Ensure compliance with federal, state, and local wage and hour laws Respond to employee inquiries related to payroll, timekeeping, and deductions Coordinate with HR and management on new hires, terminations, and pay changes Assist with year-end payroll processes , including W-2 preparation Generate payroll reports as needed Billing Responsibilities Prepare, review, and submit accurate billing for home care services Verify authorizations, service codes, and documentation for accuracy and compliance Reconcile billing discrepancies and follow up on denials and corrections Maintain up-to-date client billing records and files Collaborate with HR and scheduling teams to ensure accurate service tracking Follow up with payers, clients, and third-party billing systems as needed Ensure timely claim submission in accordance with payer requirements

Requirements

High school diploma or equivalent required
2+ years of payroll experience required (healthcare or home care preferred)
1–2 years of billing experience in healthcare or home care preferred
Familiarity with Medicaid, MCOs, and private pay billing processes
Knowledge of federal and state wage and hour laws
Proficiency in Microsoft Office
Strong attention to detail and high level of accuracy
Excellent organizational, communication, and problem-solving skills
Ability to handle sensitive and confidential information with integrity

Nice To Haves

Associate’s or Bachelor’s degree in Accounting, Business, or related field preferred
Experience with HHAeXchange or similar systems strongly preferred

Responsibilities

Process weekly payroll for caregivers using payroll software
Verify timesheets and calculate hours, overtime, and deductions
Maintain and update employee payroll records
Ensure compliance with federal, state, and local wage and hour laws
Respond to employee inquiries related to payroll, timekeeping, and deductions
Coordinate with HR and management on new hires, terminations, and pay changes
Assist with year-end payroll processes , including W-2 preparation
Generate payroll reports as needed
Prepare, review, and submit accurate billing for home care services
Verify authorizations, service codes, and documentation for accuracy and compliance
Reconcile billing discrepancies and follow up on denials and corrections
Maintain up-to-date client billing records and files
Collaborate with HR and scheduling teams to ensure accurate service tracking
Follow up with payers, clients, and third-party billing systems as needed
Ensure timely claim submission in accordance with payer requirements