Job Title: Finance Generalist

Department: Finance / Administration 

Reports To: Finance Manager

About Us:

At Tender Care Home Health & Hospice, we pride ourselves on providing compassionate, patient-centered care that elevates the quality of life for our patients and their families. Located in the heart of El Paso, Texas, we’re a family-centered organization that values teamwork, growth, and excellence in every aspect of what we do.

What We Offer:

• Competitive salary to reward your expertise
• Comprehensive benefits package (medical, dental, vision) 
• Generous PTO and paid holidays to maintain work-life balance 
• A supportive and family-oriented culture

Position Summary

The Finance Generalist supports the financial operations of the Home Health and Hospice agency by managing day-to-day accounting, payroll, and compliance-related financial processes. This role works closely with leadership, HR, and clinical operations to ensure accurate financial reporting, regulatory compliance, and efficient financial workflows across multiple payers and service lines. This is a salaried position. Position will work with both Texas and New Mexico payroll. We are located in Westside El Paso. 

Key Responsibilities

Financial Operations & Accounting

• Process accounts payable, ensuring accuracy and timely payments
• Reconcile bank accounts, credit cards, and general ledger accounts
• Assist with month-end and year-end closing processes
• Maintain accurate financial records in compliance with company policies and GAAP
• Track operating expenses, budgets, and cost allocations across departments

Payroll & Compensation Support

• Process payroll and verify timekeeping records for hourly and salaried employees
• Ensure accurate application of pay types (salary, hourly, per-visit, orientation pay, holiday pay, PTO, etc.)
• Manage payroll audits, corrections, and employee inquiries
• Coordinate payroll-related deductions, benefits, and reimbursements
• Ensure payroll compliance with federal, state, and agency-specific regulations

Compliance & Regulatory Support

• Ensure financial practices align with Medicare, Medicaid, and state regulations
• Maintain documentation required for audits, surveys, and financial reviews
• Support internal and external audits related to payroll, billing, and financial controls
• Assist in maintaining financial policies and procedures

Reporting & Analysis

• Prepare financial reports for leadership, including payroll summaries and expense reports
• Support budgeting and forecasting efforts
• Maintain accurate financial dashboards and spreadsheets

Cross-Department Collaboration

• Work closely with HR on onboarding, compensation changes, and benefit administration
• Coordinate with clinical leadership regarding visit pay, productivity, and staffing costs
• Serve as a point of contact for finance-related questions across the organization

Qualifications

• Associate’s degree in Finance, Accounting, Business Administration, or related field required
• 2+ years of experience in finance or accounting, preferably in healthcare, home health, or hospice preferred
• Knowledge of payroll processing and labor laws
• Strong attention to detail and high level of accuracy
• Proficiency in Excel and accounting/payroll systems (Paylocity experience a plus)
• Ability to manage multiple priorities in a fast-paced environment
• Familiarity with QuickBooks highly preferred
• General Ledgers, Accounts Payable and Payroll

Skills & Competencies

• Strong analytical and problem-solving skills
• Excellent organizational and time-management abilities
• Clear written and verbal communication
• Ability to handle confidential and sensitive information
• Collaborative mindset with the ability to work across departments