Payroll & Billing Specialist
Location: Remote — Philippines (collaborating daily with the U.S. team)
Employment Type: Full-time
Join a compassionate home care organization dedicated to helping seniors and individuals maintain their independence, dignity, and quality of life in the comfort of their own homes. As a Payroll & Billing Specialist, you'll play a vital role behind the scenes by ensuring caregivers are paid accurately, client services are billed correctly, and revenue is collected efficiently to support exceptional care delivery.
This position is ideal for someone who enjoys combining payroll, billing, accounts receivable, and problem-solving responsibilities while contributing to a mission-driven healthcare organization that values professionalism, accountability, and compassionate service.
Benefits and Compensation:
- Permanent Work from Home
- Paid Time Off
- Monthly Performance Bonus
- Annual Bonus
- Health Allowance
What you'll do:
Payroll Administration
- Process weekly payroll accurately and on schedule.
- Perform monthly payroll audits to identify and resolve discrepancies.
- Maintain payroll records and ensure compliance with company policies and procedures.
Billing & Accounts Receivable
- Generate and submit weekly and monthly invoices.
- Follow up on outstanding accounts receivable balances through phone and email communication.
- Research and resolve denied or unpaid claims and invoices.
- Coordinate with payer portals and billing systems to ensure timely reimbursement.
Accounting & Reconciliation
- Post vendor bills and customer payments into QuickBooks Online.
- Maintain accurate financial records and supporting documentation.
- Reconcile QuickBooks Online transactions against operational systems on a monthly basis.
- Assist in identifying discrepancies and ensuring data integrity across platforms.
Customer & Payer Communication
- Contact insurance providers, payers, clients, and other stakeholders to determine billing issues and facilitate resolutions.
- Maintain professional and effective communication when resolving outstanding balances and denied claims.
- Make outbound calls to resolve billing discrepancies, denied claims, and aging receivables.
Process Improvement & Growth
- Assist with clearing existing billing backlogs and improving workflow efficiency.
- Work closely with the current billing specialist during onboarding to learn systems, processes, and best practices.
- Learn additional responsibilities over time as the role expands.
- Recommend process improvements that increase accuracy, efficiency, and cash flow performance.
What you'll bring:
- 3+ years of experience in payroll, billing, accounts receivable, bookkeeping, or related financial operations.
- Hands-on experience with QuickBooks Online and Microsoft Excel.
- Strong attention to detail with excellent organizational and time management skills.
- Confident phone communication skills and the ability to professionally handle collections and billing inquiries.
- Ability to investigate issues, identify root causes, and follow through to resolution.
- Experience with healthcare, home care, senior care, medical billing, or insurance reimbursement environments is a strong advantage.
Preferred (training available):
- Experience with AxisCare, eCAMS, HSRM, Availity, or similar healthcare management platforms.
- Familiarity with insurance claims processing, payer portals, and reimbursement workflows.
- Experience supporting U.S.-based healthcare, payroll, billing, or accounts receivable operations.
Additional Requirements:
- Ability to obtain and maintain access to required billing portals, including ID.me verification.
- Reliable internet connection and a dedicated home office environment.
