Home Health Controller Payroll & Billing
Rochester Hills, MI • Full Time
Posted on Fri, Jun 5, 2026
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