Payroll Specialist

Clarke County Hospital • Osceola, Iowa • Full Time

Posted on Thu, May 28, 2026

Payroll

· Process biweekly payroll and maintain accurate employee payroll records.

· Ensure compliance with federal and Iowa payroll tax requirements, including

withholding, reporting and unemployment filings and IPERS reporting.

· Verify accurate retirement and benefit deductions, including IPERS, retirement,

insurance, garnishments, and other required deductions to HR documentation

· Verify accurate healthcare-specific pay elements such as shift differentials, on-call

pay, callback pay, incentives, and cross-department labor allocations to HR

documentation.

· Support payroll cost allocation and reporting needed for Medicare cost reports, grant

reporting, audits and cost-based reimbursement.

· Prepare payroll journal entries, reconcile payroll-related accounts, and assist with

month-end, year-end, and audit requests.

· Monitor timekeeping records, validate approvals, maintain audit trails, and support

strong internal controls.

· Track payroll-related grant funding requirements when applicable, including time

and effort reporting and Single Audit support.

· Respond to employee payroll questions while maintaining strict confidentiality of

payroll and personal information.

· Provides AR Deduction list to Business Office after pay run for employee accounts.

· Ensure UKG system is accurate and works with UKG and HR to ensure accurate

setup and reporting.

80%

Cross Departmental Functions · Works closely with Human Resources to ensure system compliance and accuracy. · New employee setup. 10%

Basic Clarke County Hospital (CCH) Performance Criteria

· Demonstrates Clarke County Hospital Standards of Behaviors as well as adheres

to hospital policies and procedures and safety guidelines.

· Demonstrates ability to meet business needs of department with regular, reliable

attendance.

· Employee maintains current licenses and/or certifications required for the position.

· Practices and reflects knowledge of HIPAA, DIA, DNV, OSHA and other

federal/state regulatory agencies guiding healthcare.

· Completes all annual education and competency requirements within the calendar

year.

· Is knowledgeable of hospital and department compliance requirements for federally

funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste

and abuse. Brings any questions or concerns regarding compliance to the

immediate attention of hospital administrative staff. Takes appropriate action on

concerns reported by department staff related to compliance.

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