Hospice Room and Board Supervisor

Hospice Room and Board Supervisor# Careers## Hospice Room and Board Supervisor Apply:
Remote Ohio:
Full time:
Posted Today:
13908

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.

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* Location:

** Remote
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* 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,…