Payroll Specialist

Overview

This Payroll Specialist role supports non-clinical administration for home care, home health, hospice, palliative, pediatric, and immediate-care services. The position is payroll-focused and centered on accurate financial records, reconciliation, and exception handling.

Work is expected to clearly reflect:

• What source was used
• What changed
• What remains open
• Who owns the next action

Responsibilities

• Coordinate payroll-focused, specialized-execution tasks while helping safeguard confidential account information; ensure actions remain traceable within non-clinical administration supporting home care, home health, hospice, palliative, pediatric, and immediate-care services.
• Review financial inputs against supporting records and maintain traceable documentation to determine whether items can close, need follow-up, or must move to an authorized owner.
• Reconcile discrepancies before reporting or processing; keep reconciliation steps traceable for audit and verification purposes.
• Track unresolved financial exceptions and ensure exceptions are owned and documented.
• Maintain audit-ready documentation so work state can be verified by another authorized teammate without reconstructing its history.

Requirements

• Experience and/or demonstrated ability to support payroll-focused, specialized-execution documentation and workflows.
• Strong spreadsheet analysis skills to support financial review and reconciliation.
• Ability to ensure data accuracy through invoice review, account review, and reconciliation.
• Experience supporting financial reporting and exception handling.
• Confidentiality and careful document review skills, including appropriate escalation when needed.

Preferred Qualifications

• Familiarity with non-clinical administration processes supporting home care, home health, hospice, palliative, pediatric, and immediate-care services.
• Experience with approval tracking, variance analysis, and record maintenance.
• Prior experience maintaining audit support documentation.

Compensation & Benefits

• Base salary: $43,000-$68,000 per year.

Location

• Full-time, associate level
• 100% remote within the United States