HR/ PAYROLL SPECIALIST/ CREDENTIALING

About the Role:

The HR/Payroll Specialist plays a critical role in ensuring the accurate and timely processing of employee payroll within the organization. This position is responsible for managing all aspects of payroll administration, including calculating wages, deductions, and taxes in compliance with federal, state, and local regulations. The Payroll Specialist will collaborate closely with CEO and finance teams to maintain payroll records, resolve discrepancies, and support audits. By leveraging payroll systems and software, the specialist ensures data integrity and confidentiality while delivering exceptional service to employees regarding payroll inquiries. Ultimately, this role contributes to the organization's financial accuracy and employee satisfaction through meticulous payroll management.

Credentialing is ensuring that healthcare providers meet all necessary regulatory and organizational standards to deliver safe and effective patient care. This position is responsible for managing the comprehensive credentialing process, including verifying qualifications, licenses, certifications, and professional backgrounds of medical staff. The role requires meticulous attention to detail to maintain accurate and up-to-date records, ensuring compliance with accreditation bodies and internal policies. The Credentialing Specialist collaborates closely with healthcare providers, administrative teams, and external agencies to facilitate timely credentialing and re-credentialing activities. Ultimately, this role supports the organization's commitment to quality care by safeguarding that all practitioners are properly vetted and authorized to practice

Minimum Qualifications:

• Minimum of 2 years of experience in payroll processing or payroll administration.
• Proficiency with payroll systems and software, specifically ADP and QuickBooks.
• Strong knowledge of payroll tax regulations and compliance requirements at federal and state levels.
• At least 2 years of experience in healthcare credentialing or a related administrative role.
• Proficiency with credentialing software and Microsoft Office Suite
• Excellent attention to detail and organizational skills.
• 1 year experience in credentialing.
• Bilingual

Preferred Qualifications:.

• Advanced Excel skills for payroll data analysis and reporting.
• Experience in a large corporate or multi-location environment.
• Familiarity with National Practitioner Data Bank (NPDB), NPPES, and other relevant databases.
• Strong interpersonal and communication skills to effectively liaise with providers and regulatory agencies.
• Ability to manage multiple priorities and deadlines in a fast-paced environment

Responsibilities:

• Process and execute payroll on a regular schedule using payroll software such as ADP.
• Calculate and remit payroll taxes, including federal, state, and local tax withholdings, ensuring compliance with all applicable laws.
• Maintain and update payroll records, including employee information, benefits deductions, and wage garnishments.
• Reconcile payroll accounts and resolve discrepancies or issues related to payroll processing.
• Respond to employee inquiries regarding payroll, deductions, and tax information in a timely and professional manner.
• Collaborate with CEO and departments to ensure accurate data flow and compliance with company policies and regulatory requirements.
• Prepare reports related to payroll activities for management and audit purposes.
• Verify and authenticate healthcare providers’ credentials, including education, licensure, certifications, work history, and malpractice insurance.
• Maintain and update credentialing files and databases to ensure accuracy and compliance with regulatory standards.
• Coordinate with medical staff, human resources, and external credentialing bodies to facilitate initial credentialing and periodic re-credentialing processes.
• Monitor expiration dates of licenses and certifications and initiate timely renewals to prevent lapses in provider eligibility.
• Prepare and submit reports for internal audits and external accreditation reviews related to credentialing activities.

Skills:

The Payroll Specialist utilizes their expertise in payroll tax regulations and payroll processes daily to ensure accurate wage calculations and tax withholdings. Proficiency in payroll systems such as ADP. enables efficient processing and management of payroll data, reducing errors and improving turnaround times. Strong analytical skills are applied to reconcile payroll accounts and resolve discrepancies, ensuring financial accuracy. Communication skills are essential when addressing employee questions and collaborating with CEO to maintain compliance and data integrity. Additionally, knowledge of state tax laws and payroll software enhances the specialist's ability to manage complex payroll scenarios across different jurisdiction. As well Credentialing utilizes strong organizational and analytical skills daily to review and verify complex provider information accurately. Attention to detail is essential when managing documentation and ensuring compliance with regulatory standards to avoid credentialing errors. Communication skills are employed to coordinate with healthcare providers, internal teams, and external agencies, facilitating smooth credentialing workflows. Proficiency with credentialing software and data management tools enables efficient tracking and updating of provider credentials. Additionally, problem-solving skills are important to address discrepancies or issues that arise during the credentialing process, ensuring timely resolution and continuous compliance.