Payroll and Billing Specialist

Position Summary

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.

Key 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

Qualifications

Minimum 2 years of payroll and billing experience in home care or healthcare

Required: 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

Preferred Qualifications

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

Compensation & Benefits

Competitive salary based on experience

Paid time off and holidays

Health benefits (if applicable)

Opportunities for growth and advancement

Work Schedule

Full-time

Monday–Friday

Remote