RCM QA Auditor & Trainer

Care Hospice•,

3d•$65,000 - $75,000•Remote

About The Position

Care Hospice is seeking a detail-oriented, proactive RCM QA Auditor & Trainer to support the accuracy, efficiency, and compliance of its Revenue Cycle Management processes. The role reviews billing workflows from new patient setup through payment posting, audits internal teams and outsourced RCM vendors, identifies training opportunities, and supports ongoing process improvement and team development. The position is remote, with a schedule of 8 a.m. to 5 p.m. Eastern Time. Hospice RCM experience is required. Applicants must be authorized to work for any U.S. employer; visa sponsorship is not available. The position requires at least five years of revenue and collections management experience, preferably in post-acute healthcare, along with familiarity with Medicare, Medicaid, and commercial payer guidelines and compliance standards. Proficiency in Microsoft Office and intermediate-to-advanced Excel skills are required. Experience with EMR billing platforms is required, while Netsmart or MatrixCare experience is strongly preferred. A bachelor's degree in Business Administration or a related field is strongly preferred. The stated average pay range is $65,000–$75,000 per year; final compensation depends on the candidate’s relevant experience and role responsibilities. Successful completion of a criminal background check and drug screening is required. For Florida applicants, screening through the Florida Care Provider Background Screening Clearinghouse is required.

Requirements

At least 5 years of experience in revenue and collections management.
Hospice RCM experience is required.
Proficiency in Microsoft Office Suite, including intermediate-to-advanced Excel skills.
Familiarity with Medicare, Medicaid, and commercial payer guidelines and compliance standards.
Experience with EMR billing platforms.
Demonstrated ability in process analysis, improvement planning, and managing multiple priorities.
Strong interpersonal, written, and verbal communication skills, with the ability to build positive relationships.
Discretion in handling confidential information, with professionalism and maturity.
Successful completion of a criminal background check and drug screening.
Applicants must be authorized to work for any employer in the United States; visa sponsorship is not available.

Nice To Haves

A bachelor's degree in Business Administration or a related field is strongly preferred.
Netsmart or MatrixCare experience is strongly preferred.
Revenue and collections management experience in a post-acute healthcare setting is preferred.

Responsibilities

Perform daily reviews of new patient entries from all agencies to ensure accuracy and compliance from the start of the billing process.
Audit biller and collector work and verify unpaid claims are managed promptly and effectively.
Review payment posting and adjustment activities to confirm accurate claims transactions and adherence to internal standards.
Evaluate the quality assurance processes of outsourced RCM partners to maintain consistency and accountability.
Review and update RCM team policies and procedures to support efficient and effective billing practices.
Maintain a deep understanding of revenue cycle platforms and identify opportunities to improve their use and impact.
Maintain current knowledge of federal and state billing regulations, eligibility requirements, and payer rules.
Identify training needs, develop learning resources, and provide individual or group coaching.
Collaborate with cross-functional partners to identify process improvement and standardization opportunities.
Model accountability, accuracy, and professionalism across revenue cycle work.