Are you looking for an incredible opportunity to join a dynamic, fast-growing dermatology services company? Epiphany Dermatology, headquartered in Austin, TX, is on a mission to improve access to dermatology services and provide exceptional patient care in underserved markets across the U.S.
We are looking for a service-oriented, motivated individual to join us as Payroll Specialist to accomplish this mission. With ambitions to increase our reach over the next four to five years, our quickly expanding company has gone from a single site in 2015 to over a 100 dermatological clinics nationwide.
Our employees are the key to our success and we’re proud to offer eligible employees great benefits (many at no cost!), perks like free skin care, generous time off plans, the opportunity for growth, and the chance to be part of a purpose-driven organization taking patient care to the next level.
We are excited to grow our team with individuals who are as passionate about our patients as we are and invest a lot of time and energy in our employees’ development because we believe being a part of the Epiphany team is a career opportunity—not just another job.
If you are interested in joining this mission-driven team, please consider applying today!
What we are looking for:
We’re looking for a Payroll Specialist who can deliver accurate, timely, and compliant payroll support across multiple states. The ideal candidate brings strong attention to detail, professionalism, and experience working with ADP or similar HRIS systems. This role requires someone who can maintain payroll records, manage taxes and deductions, reconcile payroll data, resolve discrepancies, and partner closely with Human Resources and Accounting to ensure smooth payroll operations.
What you'll do:
Process biweekly payroll cycles, including gross‑to‑net calculations, adjustments, and off‑cycle runs.
Respond to payroll questions from employees and internal partners, escalating issues when needed.
Process payroll tax filings, levies, garnishments, and other required deductions.
Maintain accurate employee and payroll data in ADP and internal systems.
Research and resolve payroll discrepancies by processing corrections and coordinating with stakeholders.
Complete employment and income verification requests.
Assist with annual 401(k) compliance audit activities.
Prepare, review, and distribute payroll reports.
Support new company setups in ADP, including payroll configuration and tax setup.
Identify opportunities to improve payroll accuracy, efficiency, and documentation.
Other duties as assigned.
It’ll help to have/be:
Demonstrated customer service skills with the ability to collaborate professionally across the organization.
Strong organization and time‑management skills with the ability to handle multiple deadlines.
Ability to work accurately in a fast‑paced environment with consistent attention to detail.
Ability to maintain confidentiality and use sound judgment with sensitive information.
Detail‑oriented approach with the ability to manage tasks independently and within a team.
Working knowledge of payroll laws, regulations, and best practices.
Qualifications/Experience:
Bachelor’s degree in accounting, finance, business administration, human resources, or related field preferred.
Minimum of 2-4 years of payroll administration experience, preferably processing multi-state payroll.
Experience with ADP Workforce Now preferred.
CPP certification is a plus.
Proficiency in Microsoft Office Suite, particularly Excel.
Must be authorized to work in the United States without restriction. We will not sponsor applicants for work visas.
Work environment and physical requirements:
Administrative office may have minimum visits to medical offices with possible exposure to procedure/exam room and laboratory environment may include exposure to communicable diseases, bloodborne pathogens, biohazards or toxic substances. Daily activities may include standing, walking, sitting, bending and lifting items up to 30 lbs.
Benefits:
We offer generous benefits including medical, life insurance, short-term disability coverage, mental health services, and more at no cost for eligible employees. In addition, we have great vision, dental, and supplemental insurance options. We also offer 401k with company matching, employee discounts, HSA and FSA, tuition assistance, certification reimbursement, and more!
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Skills Required
- Minimum of 2-4 years payroll administration experience
- Experience working with ADP or similar HRIS systems
- Experience with ADP Workforce Now
- Preferably experience processing multi-state payroll
- Proficiency in Microsoft Office Suite, particularly Excel
- Working knowledge of payroll laws, regulations, and best practices
- Bachelor's degree in accounting, finance, business administration, human resources, or related field
- CPP certification
- Strong attention to detail, professionalism, and customer service skills
- Ability to maintain confidentiality and use sound judgment with sensitive information
- Must be authorized to work in the United States without restriction (no visa sponsorship)
What We Do
We are determined to be the leading destination for exceptional dermatologists and teammates. Whether you’re interested in exploring partnership by way of practice sale or direct hire, we are always on the lookout for great partners who share our goals and values. Epiphany raises the standard of dermatology care by making clinical excellence accessible to all patients, promptly and in a warm and inviting environment. We help achieve this mission by lending support in operations, managed care, marketing, human resources, IT, compliance, and additional support services. We are proud to be among the fastest growing dermatology groups in the country, and invite you to learn more about us. Please click on the option below that fits your situation best.
Why Work With Us
At Epiphany Dermatology, we're all about embracing our core values of determination, excellence, common sense, teamwork, integrity, and fun! These values are at the heart of everything we do, allowing us to elevate the standard of dermatology care and proudly stand as one of the fastest-growing dermatology groups in the nation.


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