Home Care Billing Assistant

Real Hires LLC; United States; Remote; USD 42,000 - 60,000; Full time

Job summary

Real Hires LLC is seeking a Billing & Payroll Assistant for a New York-based home care provider. The role supports billing, payroll, and authorizations, ensuring caregiver hours and records are accurate and up to date.

You will liaise with caregivers and service coordinators in English and Spanish to keep operations running smoothly. Responsibilities include processing timesheets, maintaining documentation, and ensuring payroll deadlines are met.

Qualifications

• Fluency in English and Spanish (written and spoken).
• Experience with healthcare billing processes.
• Strong attention to detail and accuracy.
• Good organizational and time-management skills.
• Proficiency in Word, basic Excel, and cloud storage tools.

Responsibilities

• Review caregiver clock-in/out records to ensure hours are accurate.
• Identify and resolve billing issues and scheduling conflicts.
• Upload and process timesheets received by email/fax.
• Maintain organized electronic files and ensure records are complete and accurate.
• Communicate with caregivers, service coordinators, and internal teams in English and Spanish.

Skills

Bilingual English/Spanish

Healthcare billing

Attention to detail

Organizational skills

Microsoft Word

Excel (basic)

Dropbox

Confidential information handling

Tools

Microsoft Word

Excel

Dropbox

Job description

Billing & Payroll Assistant (Bilingual English/Spanish)

Help keep care running smoothly by making sure every hour, record, and payment is accounted for.

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

In this role, you'll help ensure caregiver hours are recorded correctly, documents are up to date, and billing and payroll are completed on time. You'll also communicate with caregivers, service coordinators, and internal teams in both English and Spanish.

If you're organized, proactive, and enjoy keeping things running smoothly, this could be the right opportunity for you.

What You'll Do

• Review caregiver clock-in and clock-out records to ensure hours are accurate.
• Check visits for missing information, schedule conflicts, and billing issues.
• Upload and process timesheets received by email and fax.
• Review schedules and recorded hours to identify and resolve errors before payroll deadlines.
• Follow up on missing or incorrect timesheets and documentation.

Authorizations & Documentation

• Track authorizations, document deadlines, and pending requirements.
• Review monthly schedules for expired authorizations and notify the appropriate service coordinators.
• Maintain organized electronic files using Microsoft Word, Excel, and Dropbox.
• Ensure records are complete, accurate, and properly maintained.

Communication & Administrative Support

• Communicate with caregivers, service coordinators, and internal teams in English and Spanish.
• Manage incoming calls and voicemails on the main office line.
• Follow up on missing documents and outstanding items.
• Support daily administrative tasks and help keep operations running smoothly.

What You'll Bring

• Fluency in English and Spanish, both spoken and written.
• Previous experience in healthcare billing.
• Strong attention to detail and the ability to identify and correct errors.
• Good organizational and time management skills.
• Confidence in following up with people to obtain missing information.
• Proficiency in Microsoft Word, basic Excel, Dropbox, and other computer systems.
• Ability to handle confidential information with care.

Nice to Have:

• Experience in home care, healthcare, or a medical office.
• Familiarity with EVV systems, payroll support, and billing processes.
• Knowledge of NHTD, TBI, and Plan of Care (POC) requirements.

Why This Role Matters

Accurate records and timely billing help ensure caregivers are paid correctly and clients receive the care they need. Your work will help prevent delays, maintain compliance, and keep daily operations running smoothly.

Ready to make a difference behind the scenes?