Finance Supervisor-Agency Directed Services

DePaul Community Resources•Roanoke, VA

4d•Hybrid

About The Position

DePaul Community Resources seeks a full-time (37.5-hour work week) Finance Supervisor-Agency Directed Services. This position serves the Roanoke, Christiansburg, and Lynchburg offices. The Finance Supervisor - Agency Directed Services oversees the financial operations of Agency Directed Services, including billing, accounts receivable, caregiver payments, patient pay, EVV compliance, and timekeeping. This position ensures accurate and timely processing, regulatory compliance, effective internal controls, and resolution of financial and operational discrepancies. This position must build relationships and work with all Finance team members, the Agency Directed Services operational team (ADS), other DePaul staff at all levels of the organization, and multiple partner agencies and third-party payors of DePaul’s services. This is a hybrid position, with the option to complete most work remotely, along with some required time in a DePaul office, and occasional travel to the Roanoke office.

Requirements

High school diploma or G.E.D. required.
3-5 years of experience in healthcare finance, billing, accounts receivable, payroll, timekeeping, or related operations.
Knowledge of billing, accounts receivable, payroll/timekeeping, reconciliations, and financial controls.
Strong analytical, organizational, communication, and problem-solving skills.
Proficiency in Microsoft Office, particularly Excel.
Ability to manage multiple priorities while maintaining accuracy and confidentiality.
Knowledge of Healthcare terminology and Medicaid provider qualifications
Knowledge of Availity portal
Knowledge of MCO portals
Knowledge of Virginia Medicaid Enterprise System (MES)
Knowledge of Office and records administration techniques and procedures.
Knowledge of Office procedures and spelling, grammar, punctuation, and arithmetic.
Knowledge of the structure and content of the English language, including the meaning and spelling of words, rules of composition, and grammar.
Knowledge of Microsoft Office Word, Excel, PowerPoint, Outlook, SharePoint, Teams, and virtual meeting applications such as Zoom.
Knowledge of DePaul's policies, procedures, and standard practices and the rules and guidelines established by regulatory and governing agencies such as DBHDS (Department of Behavioral Health & Developmental Services), HCBS (Home Community Based Services, HSAG (Health Services Advisory Group), DSS (Department of Social Services, and DMAS (Department of Medical Assistance Services)
Knowledge of Policies, procedures, and strategies that promote the safety and protection of people, data, and property.
Proficiency in using database systems and software for timekeeping records.
Ability to work independently and collaboratively in a fast-paced environment while maintaining accuracy and attention to detail.
Ability to complete required training as needed and assigned.
Ability to give full attention to what other people are saying, take time to understand the points being made, ask questions as appropriate, and not interrupt at inappropriate times.
Ability to demonstrate verbal and written communication and body language that conveys information, ideas, or inquiries effectively and concisely that purveys professional composure, emotional intelligence, thoughtfulness, patience, and respect amidst change, ambiguity, and within the daily trajectories of work.
Ability to operate standard office equipment such as telephone, calculator, printer, scanner, cellular phone, tablet, computer, postage machine, shredder.
Ability to demonstrate logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
Ability to collect and analyze data.
Ability to manage multiple priorities and complete assignments on time, accurately, and with attention to detail, and ensure a high-quality work product.
Ability to work collaboratively within a team environment and build strategic relations with coworkers, management, and community partners.
Ability to communicate effectively in both oral and written form.
Ability to develop objectives, evaluate effectiveness, and assess needs.
Ability to recognize, analyze, and problem-solve ambiguous or difficult situations and questions using critical thinking while maintaining professional composure.
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.

Nice To Haves

Preferred education in Healthcare Administration, Human Services, or a related field, or equivalent work experience
Supervisory experience preferred.
Experience with Medicaid, EVV, and Agency Directed Services preferred.

Responsibilities

Supervise, train, and support finance staff performing Agency Directed functions.
Establish priorities, workflows, deadlines, and performance expectations.
Monitor staff productivity, accuracy, and compliance with established procedures.
Build and maintain strong working relationships with the Agency Directed Services (ADS) program team and Finance team, fostering collaboration, communication, and effective resolution of operational and financial issues.
Prepare reports for leadership and recommend operational and process improvements.
Oversee Agency Directed billing processes and ensure timely, accurate claim submission.
Monitor and resolve rejected, denied, or unpaid claims.
Verify billed services are supported by authorizations, EVV records, and approved service hours.
Oversee posting of Medicaid and MCO payments, adjustments, and related reconciliations.
Monitor billing performance, identify opportunities to improve collections and reduce errors.
Oversee accounts receivable and patient pay functions, including collections, posting, adjustments, and reconciliations.
Review aging reports and ensure timely follow-up on outstanding balances.
Research and resolve payment discrepancies, denials, refunds, and account variances.
Monitor trends and communicate significant concerns to Finance leadership.
Oversee caregiver payment processes to ensure accurate and timely payments.
Ensure caregiver hours and payments are supported by approved timekeeping and EVV records.
Monitor EVV compliance and resolve exceptions affecting payroll or billing.
Review timekeeping discrepancies, including missing punches, overlapping shifts, excessive hours, and other exceptions.
Coordinate with the ADS program team to resolve issues and maintain compliance with Medicaid, payer, state, and agency requirements.
Reconcile billing, accounts receivable, EVV, timekeeping, caregiver payments, payroll, and accounting records.
Identify and resolve variances, errors, and compliance concerns.
Maintain appropriate internal controls and supporting documentation.
Assist with month-end close, audits, financial reporting, and process improvement initiatives.