Agency Directed Services Finance Specialist

Job Description

Job Description

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, SKILLS, ABILITIES & OTHER CHARACTERISTICS REQUIRED:  
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.

Knowledge of:

• 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. 
• Successful candidates will have strong organizational, analytical, and communication skills, the ability to manage multiple priorities with attention to detail, and a commitment to maintaining confidentiality while working with sensitive financial, employee, and client information.

Skill in/Ability to:

• The successful candidate will possess strong analytical, organizational, and problem-solving skills, with the ability to manage multiple priorities while maintaining accuracy and attention to detail. They must be 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 are essential, along with the ability to build positive working relationships with coworkers, management, clients, and community partners. The ideal candidate 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, as well as the ability to learn new processes and maintain compliance with training and regulatory requirements.

Other Characteristics:

• 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.

MINIMUM REQUIREMENTS TO APPLY:

• High school diploma or G.E.D. required.
• Preferred education in Healthcare Administration, Human Services, or a related field, or equivalent work experience
• Experience working with Medicaid regulations and billing

WORK ENVIRONMENT:
The work environment characteristics described herein represent those an employee encounters while performing the position's essential functions. The employee regularly works in an office environment and occasionally in the field. Work is generally completed regularly during weekdays; however, daily work hours may vary. Completion of job duties outside of normally scheduled hours may be required. Work is subject to frequent interruptions, and noise levels are varied based on the work locations.  

PHYSICAL REQUIREMENTS:
The physical demands described herein are representative of those that an employee in this position must meet, with or without reasonable accommodations, to perform the essential functions successfully. Physical activities required are finger dexterity necessary to operate equipment used in the position, effective communication, and seeing or hearing verbal cues. Walking for up to one-third of the time, sitting two-thirds or more of the time, standing for up to one-third of the time, bending from one-third to two-thirds of the time, stooping for up to one-third of the time, lifting/pushing/pulling no more than ten pounds is required. When accessing various locations, the incumbent must climb stairs and ramps. This position requires driving approximately ten percent of the employee's working time to various locations. Public transportation may not be available. Individuals needing reasonable accommodations should speak with their immediate supervisor/hiring manager.  
 
SPECIAL REQUIREMENTS AND QUALIFICATIONS: 
Successful completion (per DePaul's policies) of a Motor Vehicle Record, Criminal and Child Protective Services Background Report, and Drug Test is required. An unsatisfactory result of any of these tests will terminate the application process. 

NOTE:
This description provides information regarding the essential functions of the designated job and the general nature and level of work associated with the job. It should not be interpreted to describe all the duties whose performance may be required of such employees or be used to limit the nature and extent of assignments such an individual may be given.

Compensation depends on qualifications and experience.

DePaul is an Equal Opportunity Employer and E-Verify Participant.
 

Flexible work from home options available.