Agency Directed Services Finance Specialist

• 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.

• 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.

• 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.

• 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.
• Preferred education in Healthcare Administration Human Services or a related field or equivalent work experience
• Experience working with Medicaid regulations and billing

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race age religion color gender ethnic or national origin physical or mental disability marital status pregnancy childbirth or a medical condition related to pregnancy or childbirth veteran status sex sexual orientation gender identity gender genetic information political affiliation or any other classification protected by law.