Job Title: Billing & Payroll Specialist

Department: Hospice and Companions and Homemakers

Supervisor: Director of Hospice

Effective Date: 3/4/26

Job Objective:

The Billing & Payroll Specialist facilitates and supports accurate, timely billing and payroll operations for Home Care services, including Medicare and commercial insurance billing for Hospice and Homemakers & Companions programs. Payroll responsibilities support Homemakers & Companions and other applicable Homecare staff. This role ensures compliance with agency guidelines, payer requirements, and payroll standards while supporting efficient revenue cycle and payroll processes.

Minimum Qualifications:

Education: High School Diploma or GED

Experience: Knowledge of Home Care, Hospice, Homemakers, and commercial insurance billing.

Prior experience in healthcare billing and/or payroll strongly preferred.

Licensure: N/A

Essential Job Functions:

Billing & Claims Processing (Hospice & Homecare)

1. Process, verify, and submit accurate Medicare and commercial insurance claims for Home Care, Hospice, and Homemakers & Companions services.
2. Perform billing preparation functions, including review of visit data, supply charges, and required documentation.
3. Ensure billing processes comply with agency policies, payer requirements, and regulatory guidelines.
4. Review, investigate, and resolve denied, pending, and aged claims; correct and resubmit claims as appropriate.
5. Accurately enter and maintain patient billing data, including visits, supplies, and services rendered.
6. Monitor billing timelines and alert appropriate management staff regarding late, missing, or incomplete documentation required for billing.
7. Assist in maintaining accurate and up-to-date billing systems.
8. Contribute to team objectives by completing related billing tasks and supporting overall revenue cycle performance.

Payroll Processing (Homecare / Homemakers & Companions Only)

9. Process payroll for Homecare staff, including Homemakers & Companions, in accordance with established payroll schedules and policies.
10. Review and verify timekeeping records, visit data, and pay codes for accuracy prior to payroll submission.
11. Ensure accurate application of pay rates, differentials, overtime, and other applicable compensation elements.
12. Address payroll discrepancies, corrections, and employee inquiries in collaboration with HR and management.
13. Maintain strict confidentiality of payroll and employee information.

Compliance, Communication & Support

14. Support compliance with Medicare, Medicaid, commercial payer, and wage and hour requirements as applicable.
15. Assist with audits, payer inquiries, and internal reviews by providing accurate billing and payroll documentation.
16. Communicate effectively with internal departments to resolve billing and payroll issues in a timely manner.
17. Covers medical records and scheduling as needed
18. Other related duties as assigned.

Physical and Mental Requirements:

1. Ability to sit or stand for long periods of time.
2. Ability to speak clearly and be understood.
3. Able to hear sounds with some background noise, such as, the phone, intercom, etc.
4. Visual acuity to see a computer and read printed documents.
5. Ability to use company software and equipment to accomplish electronic tasks.
6. Ability to manage multiple demands, deadlines, and priorities, and maintain focus, with some interruptions, in a fast-paced office environment.
7. Strong attention to detail with solid organizational and problem-solving skills.
8. Ability to read, communicate clearly, and follow established procedures.
9. Proficiency with billing systems, EMR platforms, and payroll/timekeeping systems.
10. Ability to carry out position responsibilities independently and as part of a team.
11. Ability to understand and relate to the reasons behind several related concepts.
12. Ability to perform gross body coordination such as walking, stooping, filing, etc.
13. Ability to perform tasks which require hand eye coordination such as keyboard skills, writing or picking up paper.

Environmental Conditions:

1. Rare exposure to blood, body tissue or fluids.
2. Possible exposure to high/low temperatures.

EOE M/F/D/V