Billing, HR & Payroll Admin — Growth & Impact

Legacy Healthcare; Watertown (SD); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Tuition reimbursement

401K with match

Employee concierge program

Internal growth opportunities

Comprehensive benefits package

Competitive wages

Job summary

Avantara Watertown is seeking an Administrative Assistant to support billing, AR and HR functions in a skilled nursing setting. The role helps balance resident accounts, generates billing statements and processes payroll while ensuring compliance and high-quality resident care.

The position offers growth opportunities with tuition reimbursement exposure and a comprehensive benefits package. Prior accounting experience and detail orientation are valued for success.

Qualifications

• High school diploma or equivalent required.
• 1 year of accounting or billing experience.
• Bachelor’s degree in Accounting, Finance or HR preferred.
• Experience with billing and AR is helpful.

Responsibilities

• Handle billing, accounts receivable and resident statements.
• Support payroll processing and employee onboarding tasks.
• Assist with benefits programs and HR-related administration.
• Maintain compliance with federal, state and local regulations.

Skills

Billing

Accounts receivable

Payroll processing

HR functions

Attention to detail

Regulatory compliance

Education

High school diploma or equivalent

Bachelor’s degree (preferred)

Tools

Billing software

Payroll software

HRIS

Microsoft Excel

Job description

Avantara Watertown is seeking an Administrative Assistant to support billing, AR and HR functions in a skilled nursing setting. The role helps balance resident accounts, generates billing statements and processes payroll while ensuring compliance and high-quality resident care.

The position offers growth opportunities with tuition reimbursement exposure and a comprehensive benefits package. Prior accounting experience and detail orientation are valued for success.