Home Care Billing Assistant

Billing & Payroll Assistant (Bilingual English/Spanish)

Behind every successful home care operation is someone who makes sure the hours, records, and payments add up.

Our client, a New York-based home care provider
, is looking for a dependable, detail-oriented Billing & Payroll Assistant fluent in English and Spanish to support billing, payroll, timesheets, and service authorizations.

In this role, you’ll help ensure caregivers’ hours are accurate, documentation is complete, and billing and payroll processes stay on schedule. You’ll also serve as a key point of contact for caregivers, service coordinators, and internal teams.

• Billing, Payroll & Timesheets: Review caregiver clock-in/out records, verify hours, identify scheduling or billing discrepancies, process timesheets received by email and fax, and follow up on missing information before payroll deadlines.
• Authorizations & Documentation: Track authorizations and deadlines, flag expired authorizations, notify service coordinators, and maintain accurate electronic records.
• Communication & Administrative Support: Communicate in English and Spanish with caregivers and internal teams, manage incoming calls and voicemails, and follow up on outstanding documents and requests.
• Record Management: Keep files organized using Microsoft Word, basic Excel, Dropbox, and other computer systems while protecting confidential information.

• Fluency in spoken and written English and Spanish
  .
• Previous experience in healthcare billing
  .
• Strong attention to detail, organization, and time management.
• Confidence identifying errors and following up to resolve missing or incorrect information.
• Proficiency in Microsoft Word, basic Excel, Dropbox, and digital recordkeeping.
• The ability to handle confidential information responsibly.
• The ability to handle confidential information responsibly.

Experience in home care, healthcare, medical offices, EVV systems, payroll support, or billing processes. Familiarity with NHTD, TBI, and Plan of Care (POC) requirements is an advantage.

Your attention to detail helps caregivers get paid accurately, clients receive the care they need, and the business avoid billing delays and documentation issues.

If you’re organized, proactive, bilingual, and enjoy keeping essential operations running smoothly,
we’d love to hear from you.