[Hiring] RCM QA Auditor & Trainer @Care Hospice

Role Description

We’re seeking a detail-oriented and proactive RCM QA Auditor/Trainer to ensure the accuracy, efficiency, and compliance of our Revenue Cycle Management (RCM) processes. In this role, you’ll play a vital part in maintaining the integrity of billing operations by performing regular audits, identifying training opportunities, and ensuring adherence to best practices across both internal teams and outsourced RCM vendors. You’ll be hands-on in reviewing billing workflows — from new patient setups to payment posting — and help shape how we deliver excellence through continuous process improvement and team development. If you’re passionate about quality, enjoy digging into the details, and thrive in a fast-paced healthcare environment, this is the role for you.

• Drive quality assurance excellence by performing daily reviews of new patient entries from all agencies, ensuring accuracy and compliance from the start of the billing process.
• Ensure billing integrity through regular audits of biller and collector work, verifying that all unpaid claims are managed promptly and effectively.
• Safeguard financial accuracy by reviewing payment posting and adjustment activities to confirm proper claims transactions and adherence to internal standards.
• Monitor vendor performance by evaluating QA processes of outsourced RCM partners to maintain consistency and accountability.
• Continuously improve operations by reviewing and updating RCM team policies and procedures to reflect the most efficient and effective billing practices.
• Optimize systems and workflows by maintaining a deep understanding of all revenue cycle platforms and identifying ways to enhance their use and impact.
• Stay ahead of compliance changes by maintaining up-to-date knowledge of federal and state billing regulations, eligibility requirements, and payer rules.
• Support team growth by identifying training needs, developing learning resources, and providing one-on-one or group coaching to enhance team performance.
• Collaborate and innovate with cross-functional partners to identify opportunities for process improvement and standardization.
• Champion excellence by modeling accountability, accuracy, and professionalism in all aspects of the revenue cycle.

Qualifications

• Proficiency in Microsoft Office Suite; intermediate to advanced Excel skills required.
• Minimum of 5 years in revenue and collections management, preferably within a post-acute healthcare setting. Hospice experience required.
• Bachelor’s degree in Business Administration or a related field strongly preferred.
• Familiarity with Medicare, Medicaid, and commercial payer guidelines and compliance standards required.
• Experience with EMR billing platforms required; Netsmart or Matrixcare experience strongly preferred.
• Demonstrated skill in process analysis, improvement planning, and managing multiple priorities.
• Strong interpersonal, written, and verbal communication skills with the ability to build positive relationships.
• High level of discretion in handling confidential information with professionalism and maturity.
• Must successfully complete a criminal background check and drug screening.

Requirements

• Hospice RCM Experience is required.
• Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Benefits

• Comprehensive Health, Dental, & Vision Insurance.
• Company matching 401(k) to secure your future.
• A generous time-off package with 15 days of PTO & 10 Holidays to rest and recharge.
• Tuition Reimbursement & Certification Assistance to support your professional growth.
• Wellness & Discount Programs to help you lead a healthy and balanced life.
• Cell Phone, Mileage, & Gym Membership Reimbursement for your convenience.

Company Description

At Care Hospice, we're not just a company; we're a team united by a common goal – providing exceptional hospice and palliative care to those in need. We take immense pride in being a mission-driven, patient-centered leader in end-of-life care. Guided by our vision to be the most trusted partner in hospice care, we surround our patients and their loved ones with unwavering support, comfort, and compassion. At Care Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch.