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The Ins and Outs of Healthcare Payroll Services | HWL Works

Written by Tracy Kettler | February 18, 2025

Managing payroll is a difficult task for any company, but even more so in healthcare. Between irregular scheduling based on patient demand, overtime, shift wage differentials, various worker classifications, benefits management, and strict labor laws, healthcare administrative teams are kept busy, to say the least. On top of it all, hospitals have seen high turnover rates (currently standing at ~20%) over the past few years, meaning teams are constantly on- and offboarding staff and updating payroll systems. 

This not only bogs down administrators, it leaves more room for error, thus opening the facility to penalties and litigation. If, for instance, a worker is misclassified (whether intentional or not) they may not receive the full benefits they're entitled to, which can be quite costly in both the short and long term.

One of the best ways organizations can protect themselves from these hazards is by enlisting the help of an employer of record (EOR) to manage necessary administrative tasks such as payroll services for contingent staff. Here we'll explore the ins and outs of healthcare payroll services, how they streamline operations, and how they can protect your company from liability.

 

How Employers of Record (EORs) Operate

EORs are a third-party entity that handle all aspects of employee onboarding, compliance management, payroll, and other administrative duties for contingent workers. They also assume all legal responsibilities for the employees, meaning that they are responsible for benefits administration, worker classification, and more. If errors do occur in any of these processes, the EOR is the one held liable, shielding the larger organization from penalties and fines.

Healthcare EORs, however, are somewhat unique and have added responsibilities compared to other industries:

  • Regulations and licensing: Rightfully, healthcare is heavily regulated because the stakes are so high. EORs in the field need to navigate not only standard labor laws like OSHA, but also industry-specific ones such as HIPAA. They also need to ensure each worker is properly credentialed, the criteria for which varies by state.

  • Specialized workforce experts: Healthcare is no stranger to niche problems and specialized roles. Industry EORs have to stay adept at handling complex schedules with pay rates that change depending on time of day and specialization. Temporary, contract, and per diem workers must also be accounted for and processed properly by payroll and benefits administration. Additionally, EORs have to remain compliant with local labor unions that may have different expectations than non-unionized counterparts.

  • Fluctuating demand: This industry can be extremely volatile, meaning staffing administration teams have to be extremely nimble. They have to meet patient demands to ensure proper care can be administered no matter what, even during surge times such as in mass casualty events or pandemics.

  • Analytics: Healthcare EORs need to ensure that staff is being properly utilized in the right places and at the right times. Workforce analytics provide tailored insights for the organization regarding where they can optimize strategies and control costs all while maintaining high standards of care.

 

Why EORs Have Advantages Over Internal Payroll

 So why would you want to rely on an EOR over internal teams to perform payroll and other administrative duties? Well, the truth is you don't have to choose one or the other. In fact, an EOR can work with your internal administrative teams to free up their bandwidth to focus on other priorities. 

Additionally, healthcare EORs offer:

Legal Compliance

If your internal teams make an error, your company could be held liable. EORs specialize in understanding existing and incoming legislation that affects the industry in order to protect the organization from legal issues like employee misclassification. By taking on legal responsibilities for the employees that they manage, the organization is able to shirk responsibility for payroll or compliance violations. Even simple clerical errors can lead to hefty penalties and fines, so EORs can wind up saving you tens of thousands of dollars, if not more in this regard alone.

Time Savings

By reducing the burden on internal teams, you're able to focus on reaching organizational goals more efficiently. Since EORs handle all aspects of onboarding, payroll, benefits administration, and employee classification, your team is free to focus on patient care initiatives rather than back end operations.

Efficiency and Accuracy

Even the most complex staffing models are easily managed by a competent healthcare EOR. Ensuring a smooth payroll cycle for each employee improves job satisfaction and retention all while mitigating legal risks.

Scalability

If you're trying to grow the business, EORs can fill administrative gaps wherever necessary and augment your own teams. Most of the time they have vast experience working with organizations big and small and thus have the resources to ensure scaling up or down wherever necessary.

 

HWL Works to Improve Your Operations

HWL is your premier resource for all things healthcare staffing, with tailored service offerings that include:

Glean valuable insights about how your workforce operates, streamline internal procedures, and protect yourself from legal liabilities by getting in touch today!