Hospice Room and Board Supervisor

Alternate Solutions Health Network

Columbus (OH)

A distancia

USD 70.000 - 90.000

Jornada completa

Hace 2 días
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Descripción de la vacante

Alternate Solutions Health Network, LLC is seeking a Supervisor, Hospice Room and Board to lead Medicaid R&B eligibility, rate management, and facility invoice processing. You will supervise Hospice Ancillary Specialists, ensure accurate application of state Medicaid rules, and collaborate with Revenue Cycle, Finance, Operations, and Compliance.

Responsibilities include day-to-day team oversight, workflow optimization, and ensuring timely payments while maintaining compliance with HIPAA and

Formación

  • Minimum 2 years experience in hospice operations, Medicaid billing, eligibility management, or related revenue cycle work.
  • Strong understanding of Medicaid R&B requirements, facility billing, and GIP workflows.
  • Previous supervisory or team lead experience.
  • Proficiency in Microsoft Office; ability to navigate payer portals and billing platforms.

Responsabilidades

  • Supervise Hospice Ancillary Specialists and manage Medicaid room and board workflows.
  • Oversee workflow productivity, accuracy, and timely completion; ensure PTO coverage.
  • Lead hiring, coaching, evaluations, and disciplinary actions.
  • Maintain payer information, Medicaid rules, rates, and rate methodologies across states.
  • Oversee invoice review, validation, and payment; ensure month-end reconciliation with Finance.

Conocimientos

Team leadership
Attention to detail
Communication

Educación

Associate’s Degree preferred

Herramientas

Microsoft Office
Payer portals
Billing platforms
HCHB

Descripción del empleo

Our culture and people are what set us apart from other post-acute care providers. We’re dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.Location: RemoteSchedule: Monday through Friday, 8:00am to 5:00pmAgency: Alternate Solutions Health Network, LLCSUMMARYThe Supervisor, Hospice Room and Board leads the enterprise processes that support Medicaid room and board (R&B) eligibility, rate management, facility invoice validation, and payment for all hospice agencies. This role supervises the Hospice Ancillary Specialists who manage daily R&B workflows and ensures the accurate application of state Medicaid rules, facility contracts, and organizational policies. The Supervisor maintains current knowledge of R&B requirements across all operating states, ensures timely and accurate payment to contracted facilities, and partners with Revenue Cycle, Finance, Operations, and Compliance to optimize processes and performance.This position plays a key role in regulatory compliance, financial accuracy, and maintaining strong relationships with external facilities and state Medicaid entities.KEY RESPONSIBILITIESTeam Leadership & Workflow OversightSupervise and guide a team of Hospice Ancillary Specialists managing Medicaid room and board eligibility verification, facility billing coordination, and Routine/Respite/GIP-level invoice processing.Provide day-to-day oversight of workload distribution, productivity, accuracy, and timely completion of R&B workflows.Participate in employee selection, onboarding, performance evaluations, and coaching.Communicate expectations clearly and consistently, ensuring staff understand priorities, SLAs, and responsibilities.Ensure department coverage for PTO and schedule needs.Manage timecards, approvals, and administrative tasks for direct reports.Room & Board Program ManagementMaintain the payer information, Medicaid R&B rules, rate structures, managed Medicaid requirements, and documentation standards across all states of operation.Ensure accurate application of facility contracts, Medicaid eligibility rules, and rate methodologies.Oversee verification of patient liability/share-of-cost requirements where applicable.Serve as primary point of escalation for complex cases involving facilities, Medicaid agencies, or managed care plans.Financial Accuracy & Invoice ReviewOversee timely and accurate review, validation, and payment of facility invoices for R&B, Respite and GIP services.Partner with Finance/Accounting to ensure proper reconciliation and month-end accuracy.Push contracted facilities to follow proper billing methodology; resolve billing disputes.Ensure accurate application of Medicaid rates, retroactive adjustments, and contract terms.Regulatory Compliance & Policy AlignmentMaintain up-to-date knowledge of Medicaid regulations, CMS guidelines impacting R&B, and state-specific requirements.Ensure internal compliance with payer rules, HIPAA, and organizational policies.Collaborate with Compliance to maintain accurate SOPs and update processes based on regulatory changes.Lead or support R&B-related audits and respond to compliance inquiries.Operational CollaborationWork cross-functionally with Revenue Cycle, Finance, Operations, Contracting, and Compliance to support R&B workflows.Communicate professionally with facilities, Medicaid agencies, contracted partners, and internal leaders to resolve issues and maintain strong relationships.Participate in meetings, in-service training, and strategic initiatives as required.Reporting & Performance ImprovementDevelop and maintain reporting tools to monitor invoice aging, error rates, payment timeliness, and workflow productivity.Provide routine updates to leadership and identify trends that require process improvement.Implement scalable, sustainable workflows aligned with enterprise operational goals.Other DutiesSupport cross-department projects and initiatives as needed.Perform other duties as assigned.MANAGEMENT RESPONSIBILITIESDirectly supervise Hospice Ancillary Specialists.Oversee day-to-day team operations, workflow assignment, problem resolution, and performance outcomes.Participate in hiring, evaluation, coaching, and disciplinary processes as required.Ensure department coverage and quality standards are consistently met.Collaborate with Manager/Director in setting department goals and supporting strategic planning.Lead project work related to R&B improvements, system changes, or expansion into new markets.QUALIFICATIONSRequiredMinimum 2 years experience in hospice operations, Medicaid billing, eligibility management, or related revenue cycle work.Strong understanding of Medicaid R&B requirements, facility billing, and GIP workflows.Previous supervisory or team lead experience.Proficiency in Microsoft Office; ability to navigate payer portals and billing platforms.Demonstrated ability to communicate professionally with facilities, payors, and internal teams.Strong attention to detail, accuracy, and organizational skills.PreferredExperience in multi-state Medicaid environments.Familiarity with hospice billing systems (e.g., HCHB).Knowledge of facility contracting terms related to R&B.EDUCATION & CREDENTIALSAssociate’s Degree preferred; equivalent experience considered.#INDASHN3We’ll help you put your passion for patient care to work. Apply today!This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.We are an Equal Opportunity Employer.
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