Agency Directed Services Finance Specialist

Location: Roanoke

JOB SUMMARY:
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.

SUPERVISION RECEIVED AND EXERCISED:
The ADS Finance Specialist reports directly to the Finance Supervisor - Agency Directed Services.

ESSENTIAL FUNCTIONS AND DUTIES:
This list is not an exhaustive & all-inclusive list of job responsibilities. The distribution of time allotted for any function or duty is subject to change with or without notice. Nothing in this job description restricts management's right to assign other responsibilities to this job or reassign them elsewhere at any time.

Timekeeping Management and EVV Compliance (ADS Caregivers):

• 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.

Billing and Accounts Receivable:

• 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.

Patient Pay Collections Support

• 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.

Caregiver Payment Support:

• 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.

Communication and Collaboration:

• 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.

KNOWLEDGE,…