Payroll & AP Specialist

Role Summary
We are hiring a Payroll & AP Specialist to work full time with one of our U.S. healthcare clients. You will process payroll on schedule, manage accounts payable, and keep financial records accurate and audit-ready. This role is a great fit if you like working with numbers, following a clear process, and taking ownership of a recurring cycle.

About Outsentia
Outsentia places trained analytical and back-office staff with financial services, market research, and alternative data firms. Outsentia Health is a separate brand serving independent and physician-owned medical and dental practices with HIPAA-certified remote staff. Our talent is office-based in Pakistan, Colombia, and other South Asia and LatAm markets. You will work from our office in Pakistan as a dedicated, full-time member of the client's team.

What You'll Own

Payroll

• Prepare and process payroll on schedule in Viventium
• Review timesheets, schedules, EVV records, leave, and overtime for accuracy before each run
• Research and resolve payroll discrepancies and employee pay questions
• Support payroll tax, direct deposit, and deduction processes
• Maintain payroll records and prepare payroll reports

Accounts Payable

• Receive, review, code, and track vendor invoices and credit card statements
• Prepare AP items for approval and enter them in Sage
• Reconcile payroll and AP records and investigate discrepancies
• Support month-end close and financial reporting

Required Qualifications

• 2–4 years of U.S. payroll and accounts payable experience, ideally in home care or healthcare
• Experience with Viventium, AlayaCare, or Sage preferred
• Strong attention to detail and follow-through
• Clear written and spoken English
• Comfortable with Microsoft 365, Teams, and Excel
• Willing to complete HIPAA training before starting
• Hybrid, 3 days per week in office, 2 days remote
• Reports to the Operations Manager, with approvals from your U.S. finance lead

Preferred Qualifications

• Home care or home health background
• Experience with payroll tax and multi-state payroll
• Experience using AI tools to speed up admin work