Finance Generalist

Finance Generalist

Department: Finance / Administration

Reports To: Finance Manager

At Tender Care Home Health & Hospice
, we pride ourselves on providing compassionate, patient-centered care that elevates the quality of life for our patients and their families. Located in the heart of El Paso, Texas, we’re a family-centered organization that values teamwork, growth, and excellence in every aspect of what we do.

• Competitive salary to reward your expertise
• Comprehensive benefits package (medical, dental, vision)
• Generous PTO and paid holidays to maintain work‑life balance
• A supportive and family‑oriented culture

The Finance Generalist supports the financial operations of the Home Health and Hospice agency by managing day‑to‑day accounting, payroll, and compliance‑related financial processes. This role works closely with leadership, HR, and clinical operations to ensure accurate financial reporting, regulatory compliance, and efficient financial workflows across multiple payers and service lines. This is a salaried position. Position will work with both Texas and New Mexico payroll.

We are located in Westside El Paso.

• Process accounts payable, ensuring accuracy and timely payments
• Reconcile bank accounts, credit cards, and general ledger accounts
• Assist with month‑end and year‑end closing processes
• Maintain accurate financial records in compliance with company policies and GAAP
• Track operating expenses, budgets, and cost allocations across departments

• Process payroll and verify timekeeping records for hourly and salaried employees
• Ensure accurate application of pay types (salary, hourly, per‑visit, orientation pay, holiday pay, PTO, etc.)
• Manage payroll audits, corrections, and employee inquiries
• Coordinate payroll‑related deductions, benefits, and reimbursements
• Ensure payroll compliance with federal, state, and agency‑specific regulations

• Ensure financial practices align with Medicare, Medicaid, and state regulations
• Maintain documentation required for audits, surveys, and financial reviews
• Support internal and external audits related to payroll, billing, and financial controls
• Assist in maintaining financial policies and procedures

• Prepare financial reports for leadership, including payroll summaries and expense reports
• Support budgeting and forecasting efforts
• Maintain accurate financial dashboards and spreadsheets

• Work closely with HR on onboarding, compensation changes, and benefit administration
• Coordinate with clinical leadership regarding visit pay, productivity, and staffing costs
• Serve as a point of contact for finance‑related questions across the organization

• Associate’s degree in Finance, Accounting, Business Administration, or related field required
• 2+ years of experience in finance or accounting, preferably in healthcare, home health, or hospice preferred
• Knowledge of payroll processing and labor laws
• Strong attention to detail and high level of accuracy