Payroll Specialist

OrthoMed Anesthesia; Addison (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

OrthoMed Anesthesia is seeking a Payroll Specialist to manage payroll for W-2 employees and 1099 contractors across multiple states using Paycom. You will audit timekeeping data, handle deductions, and ensure accurate tax filings while maintaining strict confidentiality in a fast-paced healthcare staffing environment.

Ideal candidates have 2+ years of payroll processing experience, strong knowledge of payroll laws, and excellent communication skills to support employees, managers, and HR across

Qualifications

• Bachelor’s degree in Accounting, Finance, or Business preferred; equivalent experience considered.
• 2+ years of hands-on payroll processing experience; multi-state experience strongly preferred.
• Proficiency with HRIS/payroll systems; Paycom experience strongly preferred.
• Working knowledge of federal, state, local payroll tax laws and FLSA requirements.
• Healthcare or staffing industry payroll experience is a plus.
• High accuracy and ability to meet deadlines; strong communication skills.

Responsibilities

• Process bi-weekly, off-cycle, and ad hoc payroll in Paycom for W-2 employees and 1099 contractors.
• Collect, audit, and reconcile timekeeping data, including shift differentials and overtime.
• Enter and verify new hires, terminations, pay rate changes, and deductions in Paycom.
• Review pre-processing payroll registers to identify and correct errors before submission.
• Respond to payroll inquiries professionally and escalate complex issues to the Payroll Manager.
• Assist in year-end processes, including W-2 and 1099 preparation and distribution.
• Maintain confidential payroll records in compliance with regulations.
• Support multi-state payroll tax compliance and state registrations.
• Coordinate with HR to ensure accurate employee records in Paycom.
• Develop Paycom training materials and provide first-level system support.
• Identify process improvements and propose solutions to the Payroll Manager.
• Other duties as assigned.

Skills

Deadline-driven

Attention to detail

Multi-state payroll experience

Strong communication

Education

Bachelor's degree in Accounting/Finance/Business

Tools

Paycom

Job description

The Payroll Specialist supports the accurate and timely processing of payroll for OrthoMed Anesthesia's employee and independent contractor clinical and administrative staff across multiple sites and states. Working under the direction of the Payroll Manager, this role owns the day-to-day mechanics of the payroll cycle in Paycom, maintains payroll data integrity, and serves as a first point of contact for payroll questions from employees, contractors, and managers. The ideal candidate is detail-oriented, deadline-driven, and comfortable working in a fast-paced, multi-state healthcare staffing environment.

Key Responsibilities

• Process bi-weekly, off-cycle, and ad hoc payroll in Paycom for W-2 employees and 1099 contractors across multiple states, under the review and approval of the Payroll Manager
• Collect, audit, and reconcile timekeeping data, including shift differentials, on-call pay, overtime, call-back pay, stipends, and per diem, prior to each payroll run
• Enter and verify new hires, terminations, pay rate changes, direct deposit updates, tax withholding elections, garnishments, and benefit deductions in Paycom
• Review pre-processing payroll registers and exception reports to identify and correct errors before submission
• Respond to payroll inquiries from employees, contractors, and managers professionally and within established turnaround times; escape complex issues to the Payroll Manager
• Research and resolve payroll discrepancies, including missed hours, incorrect rates, and retroactive adjustments
• Assist in preparing payroll reports, journal entry support, and reconciliations for the Finance department
• Support multi-state payroll tax compliance, including new state registrations, tax notices, and quarterly and annual filings
• Assist with year-end processes, including W-2 and 1099 preparation, review, and distribution
• Maintain accurate, organized, and confidential payroll records in accordance with company policy and applicable regulations
• Coordinate with HR team members to ensure employee records and status changes are reflected accurately and timely in Paycom
• Assist in developing Paycom training materials and provide first-level system support to employees and contractors
• Identify opportunities to improve payroll processes and recommend solutions to the Payroll Manager
• Other duties as assigned

Qualifications

• Associate's or Bachelor's degree in Accounting, Finance, Business, or a related field preferred; equivalent experience considered
• 2+ years of hands-on payroll processing experience; multi-state experience strongly preferred
• Proficiency with HRIS/payroll systems required; Paycom experience strongly preferred
• Working knowledge of federal, state, and local payroll tax laws, wage and hour regulations, and FLSA requirements
• Experience processing payments to both W-2 employees and 1099 independent contractors is a plus
• Healthcare or staffing industry payroll experience is a plus
• High degree of accuracy and attention to detail with the ability to meet firm deadlines
• Strong, positive communication and customer-service skills when working with clinicians and staff across multiple locations
• Demonstrated ability to handle sensitive and confidential information with discretion
• Fundamental Payroll Certification (FPC) or Certified Payroll Professional (CPP) is a plus

Multi-State Payroll Considerations

As a Payroll Specialist for a multi-state healthcare staffing company, this role must be familiar with:

• State-specific tax regulations: Apply varying state income tax withholding, reciprocity, and local tax rules
• Wage and hour laws: Comply with differing minimum wage rates, overtime rules, and pay frequency requirements across states
• Paid leave policies: Track diverse state and local sick leave and paid time off requirements
• Reporting requirements: Meet state-specific payroll reporting and filing deadlines
• Unemployment insurance: Manage differing state unemployment tax rates and wage bases
• Garnishments and levies: Apply state-specific rules for wage garnishments and tax levies

Healthcare Industry Payroll Nuances

• Shift differentials: Calculate additional pay for night, weekend, and holiday shifts
• On-call and call-back pay: Manage compensation for clinicians required to be available outside scheduled hours
• Overtime calculations: Apply complex overtime rules for healthcare workers
• Per diem and stipends: Process payments for traveling and temporary clinical staff
• Multiple job roles and rates: Handle clinicians who work at different facilities or in different capacities with varying pay rates
• Worker classification: Maintain accurate distinction between W-2 employee and 1099 contractor payments