Finance Specialist

Hello We're Ousource Direct, specialising in providing offshore finance teams for growth-focused businesses across the US and Europe.

Type of Role

• Type: Full-time, Work-from-Home (Independent Contractor)

• Working Hours:

• US Eastern Time Clients: 9:00 AM – 6:00 PM EST (10:00 PM – 7:00 AM PH Time)

• US Central Time Clients: 9:00 AM – 6:00 PM CST (11:00 PM – 8:00 AM PH Time)

About the Client:

A Chicago-based behavioral health organization delivering innovative, evidence-based mental health services that improve patient outcomes and enhance care quality across diverse clinical settings. Guided by a philosophy of continuous growth and excellence, they are building a workplace where every team member feels empowered to make an impact. With a strong culture of collaboration and commitment, our people consistently describe it as a truly exceptional place to work.

The Role:

We are seeking a Finance Specialist who will own critical elements of our revenue cycle while also taking full ownership of our core financial operations. This role, which reports to the CFO, blends RCM expertise with general financial responsibilities such as bookkeeping, payroll administration, cash management, and reporting. Your responsibilities will encompass analyzing and improving revenue cycle procedures, implementing automation and technology-driven solutions, and developing key performance metrics to maximize efficiency, accuracy, and cash flow. This remote position is ideal for a candidate who is a strategic thinker, data-driven operator, and a "hands-on" team player ready to roll up their sleeves and build structure in a growing behavioral health organization.

What You'll Do:

Revenue Cycle

• Maximize revenue realization by managing third-party RCM vendor responsible for coding, billing, and collections, ensuring accuracy with daily and weekly claim audits.
• Ensure that systems, payer registrations, and credentialling are up-to-date and support the COO in the launch of new service lines.
• Strengthen reimbursement outcomes by identifying root causes of claim denials/delays and implementing immediate and long-term reduction strategies.
• Improve cash flow predictability by establishing, tracking and analyzing KPIs like AR aging, denial rates, and net collection rate, to ensure proactive issue resolution and continuous process improvements.
• Compile and deliver weekly company and provider level scorecards on revenue cycle management metrics, including revenue, collections, denial % and AR days.
• Create scalable processes by streamlining and documenting revenue workflows across departments while leading quality improvement initiatives.

Financial Operations

• Ensure accurate, timely books by owning monthly close, reconciliations, and general ledger maintenance.
• Maintain stewardship of the line of credit including processing of transactions, advising on repayment schedule in accordance with cash on hand, and timely updating of loan tracker.
• Ensure the accurate administration of payroll processes while adhering to internal guidelines and vendor protocols to maintain efficient payroll execution.
• Support the team by handling HR and payroll queries, responding within four hours.
• Maintain vendor trust and expense accuracy by overseeing accounts payable, including invoice entry, approval workflows, and timely disbursements.
• Ensure liquidity by managing cash tracking and forecasting. Provide the Executive team with a weekly Liquidity Snapshot detailing expected cash inflows and outflows.
• Support strategic decision-making by preparing budgets, forecasts, variance reports and weekly KPI Flash Reports that inform leadership.

Key Success Factors

• Analytical: Ability to derive meaningful insights and actions from data.
• Strong Project Management: Organized, able to prioritize, and lead initiatives successfully.
• Flexibility to Dive In: Willingness to engage actively in a dynamic, fast-paced startup environment.
• Interest in Growth: Eager to grow alongside the organization as it expands.
• Integrity: Uphold impeccable ethical and professional standards.
• Collaborative Spirit: Energetic team player who works well with others.
• Effective Communication: Excellent written and oral communication skills.
• Attention to Detail: Superior ability to manage multiple priorities while maintaining a strategic perspective.
• Self-Awareness: Honest, open, and respectful of others.
• Best Practices Implementation: Ability to create and execute processes based on industry best practices.

Who You Are:

• 5+ years' work experience in healthcare revenue cycle, bookkeeping, or financial operations.
• BS in Finance or Accounting.
• Proficient in Excel and comfortable working across systems and platforms.
• Comfortable working in a fast-paced, high-growth environment.
• Knowledge of RCM, billing platforms, and payroll/GL workflows.
• Ability to manage competing priorities while meeting strict deadlines with accuracy and attention to detail.
• Self-starter with strong organization and communication skills.