Home Care Billing Assistant

Real Hires; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

Real Hires LLC is seeking a Billing & Payroll Assistant in New York for bilingual English/Spanish support in billing, payroll, timesheets, and service authorizations. You’ll ensure caregiver hours are accurate, maintain documentation, and assist with payroll deadlines.

The role requires experience in healthcare billing, strong attention to detail, and proficiency with Word, Excel, and Dropbox. You will interact with caregivers, service coordinators, and internal teams in a fast-paced environment.

Qualifications

• Experience in healthcare billing and payroll processing.
• Fluency in English and Spanish (spoken and written).
• Strong attention to detail, organization and time management.
• Proficiency with Word, basic Excel, and Dropbox.

Responsibilities

• Billing, payroll & timesheets: review clock-in/out records, verify hours, process timesheets and follow up on missing information.
• Authorizations & documentation: track authorizations and deadlines, notify coordinators, maintain records.
• Communication & admin support: communicate in English and Spanish with caregivers and teams, handle calls and follow-ups.
• Record management: keep files organized, protect confidential information using standard tools.

Skills

Bilingual English/Spanish

Healthcare billing

Attention to detail

Time management

Microsoft Word

Excel (basic)

Dropbox

Confidential information handling

Tools

Microsoft Word

Excel

Dropbox

Job description

Billing & Payroll Assistant (Bilingual English/Spanish)

Keep the Numbers Accurate. Keep Care Moving.

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.

What You’ll Do

• 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.

What You’ll Bring

• 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.

Nice to have:

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.

Why This Role Matters

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.

Make every hour count. Keep the details right.