Billing & Payroll Specialist

Billing & Payroll Specialist

Company: Caregivers
Location: Indianapolis, Indiana
Employment Type: Full-Time

Billing & Payroll Specialist Overview

Caregivers, providing the best homecare in Indianapolis since 1990, is seeking an experienced Billing & Payroll Specialist to manage the financial operations that support our homecare services across central Indiana. This role is responsible for Medicaid billing, payroll processing for staff, and maintaining accurate financial records across multiple systems.

The ideal candidate has 2-5 years of billing experience, preferably within homecare, healthcare, or Medicaid/Medicaid Pathways-funded services, and thrives in a detail-oriented, process-driven environment.

This position plays a critical role in ensuring staff are paid accurately and on time while maintaining compliant billing practices with Medicaid and other payers.

Key Responsibilities

Billing & Revenue Cycle

• Process and submit Medicaid, Medicaid Pathways, and other insurance billing for homecare services


• Review service documentation and EHR data to ensure billing accuracy and compliance


• Investigate and resolve billing discrepancies or claim denials


• Track receivables and follow up on outstanding claims


• Maintain accurate billing records and reporting

Payroll Administration

• Process weekly payroll for caregivers and office staff


• Review timesheets and visit records within the EHR system


• Ensure payroll compliance with state and federal regulations


• Manage payroll through ADP or similar payroll systems


• Handle payroll corrections, adjustments, and reporting

Financial Systems & Reporting

• Utilize QuickBooks for financial recordkeeping


• Maintain payroll and billing reports in Excel


• Work within the company EHR platform to validate services and visit records


• Generate financial and operational reports for leadership

Compliance & Accuracy

• Maintain strong attention to detail in billing and payroll processing


• Ensure compliance with Medicaid billing requirements


• Maintain accurate documentation for audits and internal review


• Identify process improvements to increase efficiency and reduce billing errors

Qualifications

• 2–5 years of billing and/or payroll experience


• Experience with medical billing, Medicaid billing, or healthcare billing


• Strong proficiency in Microsoft Excel


• Experience using QuickBooks


• Experience with ADP or similar payroll systems


• Experience working with EHR systems


• Exceptional attention to detail and organizational skills


• Strong problem-solving and communication skills

Preferred

• Experience working in homecare or home health agencies


• Knowledge of Indiana Medicaid billing procedures


• Familiarity with caregiver scheduling and visit verification systems

Compensation

• Billing Specialist salary range: $52K–$61K in Indianapolis

Benefits 

• Health insurance (50% coverage)


• Life, Dental, Vision Insurance (100% coverage)


• Paid time off (15 days accumulated)


• 401k Retirement plan


• Professional development opportunities


• Growth opportunities within Caregivers