Position Summary:
Payroll and Billing Specialist manages payroll processing and billing operations for our home care services. This role plays a critical function in ensuring timely caregiver compensation and accurate client billing in compliance with regulatory standards and company policies.
Key Responsibilities:
Payroll Duties:
Process weekly/biweekly payroll for caregivers and staff using electronic timekeeping systems.
Verify timesheets and visit logs for accuracy and compliance with Electronic Visit Verification (EVV) standards.
Calculate wages, deductions, overtime, and paid time off in accordance with labor laws.
Maintain payroll records and respond to employee inquiries promptly.
Work closely with Human Resources on new hires, terminations, and job changes.
Billing Duties:
Prepare and submit invoices to Medicaid, private insurance, and private-pay clients.
Ensure billing is supported by required service documentation and EVV records.
Track payments, manage accounts receivable, and follow up on outstanding balances.
Maintain accurate billing records and support reporting for audits and regulatory reviews.
EVV MD :
Review EVV LTSS Service Rendered reports daily for the following
Employee worked
Units worked
Hours worked
Exception codes
Prepare MTR requests for the following
Missing clock in. Employee contact required
Missing clock out. Employee contact required.
EVV app manual (can be both or in or out).
Quality Assurance:
Verify completion of all time sheets and nursing notes turned in to the office.
Dates must be listed as MM/DD/YY for all items. Verify signatures and initials are completed.
Ensure there is a progress note for each shift on time sheets.
Ensure additional documentation is turned including Autism monthly calendars.
Ensure the clients name and the employee’s name is on each note and time sheet.
Ensure paperwork used by the agency is filed: Time sheets, billing invoices, nursing notes, chart reviews, etc.
o Verify completion of application folders for potential new employees. Complete verification of previous employment
o Audit current employee files, Verify licenses, job reference, CJIS paperwork and all other requirements for each position. Inform Administrator of all credentials that have expired or need to be replaced.
o Forward list of names to care managers for additional screening
o Assist with “fill-in of all call-out employees.
Administrative Duties:
Coordinate with HR and scheduling teams to ensure payroll and billing accuracy.
Participate in internal and external audits.
Maintain confidentiality of employee and client information at all times
Understand the use of the phone system
o Answer calls.
o Take messages, pass it along to appropriate staff in timely manner.
o Make all appropriate phone calls as needed or directed by the supervisor
o Fax/Copy as needed for business use.
o Type all office related letters and forms as assigned by supervisor
