Finance Supervisor-Agency Directed Services

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.

The Finance Supervisor – Agency Directed Services reports directly to the Senior Accounting Specialist.

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.

• 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.

Knowledge, skills, abilities, and other characteristics or KSAOs are attributes needed to perform a job that is demonstrated through qualifying training, education, and experience. This list is not an exhaustive & all-inclusive list of all KSAOs for this job.

• Healthcare terminology and Medicaid provider…