Agency Directed Services Finance Specialist

DePaul Community Resources•Roanoke, VA

3d•$24 - $26•Remote

About The Position

The ADS Finance Specialist is responsible for the accurate administration of the financial and administrative operations of the Agency Directed program, including caregiver timekeeping and EVV compliance, Medicaid billing and accounts receivable, patient pay collections, caregiver payment support, and payment posting. The position requires strong attention to detail, knowledge or Medicaid and healthcare-related financial processes, excellent customer service and critical thinking skills, and the ability to appropriately manage confidential financial and health information. The ADS Finance Specialist must build relationships and work with all Finance team members, other DePaul staff at all levels of the organization, and multiple partner agencies and third-party payors of DePaul’s services. This position is primarily remote work, with the occasional need to visit the assigned office for meetings or other tasks as required.

Requirements

Knowledge of healthcare finance, Medicaid billing, and regulatory requirements, including Electronic Visit Verification (EVV) compliance, preferred.
Familiarity with Medicaid and Managed Care Organization (MCO) systems, healthcare billing platforms, and financial processes is beneficial.
Proficiency with Microsoft Office applications, including Excel, Outlook, Teams, and SharePoint, is required.
Strong organizational, analytical, and communication skills.
Ability to manage multiple priorities with attention to detail.
Commitment to maintaining confidentiality while working with sensitive financial, employee, and client information.
Strong analytical, organizational, and problem-solving skills.
Ability to manage multiple priorities while maintaining accuracy and attention to detail.
Comfortable working both independently and collaboratively in a fast-paced environment.
Effectively analyzing data, resolving complex issues, and adapting to changing business needs.
Strong verbal and written communication skills.
Ability to build positive working relationships with coworkers, management, clients, and community partners.
Demonstrates professional judgment, emotional intelligence, and a customer-service mindset when handling sensitive situations and confidential information.
Proficiency with timekeeping systems, databases, and standard office technology is preferred.
Ability to learn new processes and maintain compliance with training and regulatory requirements.
Demonstrate self-awareness, ongoing self-evaluation, and a commitment to being part of a diverse, equitable, respectful, and inclusive workplace where all people are valued.
Demonstrate professional composure in difficult and stressful situations.
Demonstrate the FIRST (fairness, integrity, respect, safety, trust) values in the daily trajectories of work.
Demonstrate professionalism regarding access to sensitive and confidential information related to employees, clients, and business records with no disclosure to others without needing to know.
High school diploma or G.E.D. required.
Experience working with Medicaid regulations and billing.

Nice To Haves

Preferred education in Healthcare Administration, Human Services, or a related field, or equivalent work experience

Responsibilities

Administer and maintain accurate ADS caregiver timekeeping records, including reviewing hours, monitoring attendance, auditing records, and meeting payroll deadlines.
Monitor Electronic Visit Verification (EVV) compliance; review, research, and resolve exceptions and discrepancies to support accurate documentation and compliance with Medicaid requirements.
Analyze timekeeping and EVV reports and coordinate with caregivers, supervisors, and program staff to resolve issues affecting payroll and regulatory compliance.
Manage ADS billing and accounts receivable, ensuring accurate and timely claim submission to Medicaid, Managed Care Organizations (MCOs), and other payers.
Post and reconcile payments; monitor outstanding receivables; and research and resolve denials, underpayments, unpaid claims, and other billing discrepancies.
Coordinate with Finance, program staff, clients, and payers to support timely reimbursement and accurate financial records.
Maintain patient pay account records, process and post payments, monitor outstanding balances, and assist with account reconciliation and collection activities.
Serve as primary contact for patient billing questions, payment arrangements, and account concerns while maintaining professionalism, confidentiality, and HIPAA compliance.
Follow up on outstanding balances and collaborate with Finance and program staff to support timely collections and accurate reporting.
Provide backup support for caregiver payment and payroll processes by assisting with payroll review, payment preparation, reconciliations, and issue resolution.
Work with ADS leadership and Finance Teams to ensure approved caregiver payments accurate, timely, properly documented, and processed according to established schedules.
Serve as primary Finance contact for ADS caregiver timekeeping, EVV, and patient pay questions.
Communicate with caregivers, clients, program staff, Finance staff, payers, and external partners to research and resolve financial and administrative issues.
Identify opportunities to improve timekeeping, EVV, billing, patient pay, and caregiver payment processes and workflows.