Hospice Room and Board Supervisor

Alternate Solutions Health Network, LLC; Ohio; Hybrid; USD 80,000 - 110,000; Full time

Job summary

Alternate Solutions Health Network, LLC is seeking a Supervisor, Hospice Room and Board to lead Medicaid R&B eligibility and invoicing processes across states, ensuring accurate payments and compliance.

You will supervise Hospice Ancillary Specialists, coordinate with Revenue Cycle, Finance, Operations and Compliance, and drive process improvements while maintaining strong relationships with facilities and Medicaid entities.

Qualifications

• 2+ years in hospice operations, Medicaid billing, eligibility management, or related revenue cycle work.

Responsibilities

• Directly supervise Hospice Ancillary Specialists.
• Oversee Medicaid room and board eligibility verification and billing.
• Ensure timely and accurate payment to facilities.
• Maintain up-to-date knowledge of Medicaid rules across states.
• Collaborate with Revenue Cycle, Finance, Operations, and Compliance.
• Lead audits and respond to compliance inquiries.

Skills

Team leadership

Communication

Medicaid R&B

Payer portals

Attention to detail

Education

Associate’s Degree

Tools

Microsoft Office

Job description

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: Remote

Schedule: Monday through Friday, 8:00am to 5:00pm

Agency: Alternate Solutions Health Network, LLC

SUMMARY

The 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 RESPONSIBILITIES

• Team Leadership & Workflow Oversight
  Supervise 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 Management
  Maintain 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 Review
  Oversee 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 Alignment
  Maintain 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 Collaboration
  Work 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 Improvement
  Develop 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 Duties
  Support cross-department projects and initiatives as needed.
  Perform other duties as assigned.
• MANAGEMENT RESPONSIBILITIES
  Directly 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.

QUALIFICATIONS

Required 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. Demonstrated ability to communicate professionally with facilities, payors, and internal teams. Strong attention to detail, accuracy, and organizational skills.

Preferred Experience in multi-state Medicaid environments. Familiarity with hospice billing systems (e.g., HCHB). Knowledge of facility contracting terms related to R&B.

EDUCATION & CREDENTIALS

Associate’s Degree preferred; equivalent experience considered.

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.

ASHN will never ask, nor require a candidate to provide money for work equipment and network access during the application process.

Alternate Solutions Health Network collaborates with health systems in joint venture partnerships to create a post-acute care solution to deliver efficient centralized operations that is patient focused. Our company has been dedicated, since the very beginning, to transforming the quality of care for our team and our patients.