Home Health Controller Payroll & Billing

Job DescriptionJob Description Guardian Angel Home Care is seeking a hands-on, detail-oriented Controller to oversee our core financial operations, including payroll, billing, and accounting functions, while working directly with executive leadership. This is a high-impact role supporting the CEO and leadership team, focused on ensuring financial accuracy, operational efficiency, and compliance across a growing, multi-state home health organization. We are looking for someone who can own the numbers, improve processes, and bring structure to a fast-paced environment.

What You'll Do:

Oversee payroll operations ensuring accuracy, timeliness, and compliance Manage and support billing and revenue cycle processes Supervise AP/AR functions and accounting workflows Prepare and review financial statements, reports, and forecasts Partner directly with the CEO on financial strategy and decision-making Monitor cash flow, expenses, and overall financial performance Ensure compliance with healthcare, Medicare, and regulatory requirements Identify inefficiencies and implement process improvements Support audits and maintain internal controls Collaborate with HR, operations, and regional teams

What We're Looking For:

Experience as a Controller, Accounting Manager, or senior-level finance professional Background in healthcare or home health (strongly preferred) Strong understanding of payroll, billing, and financial reporting Experience working in a multi-location or multi-state environment Highly organized with strong attention to detail Ability to operate independently and handle sensitive information Strong communication skills and ability to work directly with leadership

Why Join Us:

Direct access to executive leadership High-impact role with influence across the organization Opportunity to build and improve financial systems Growing national healthcare organization

Compensation:

Competitive salary based on experience Additional details discussed during interview