Room and Board Billing Specialist

Job Description

Job Description

At Crossbridge Hospice, we believe a role is truly fulfilling when it aligns with your personal values, reflects your interests, leverages your strengths, and supports your professional growth. Our mission—people caring for people—guides everything we do. We are committed to cultivating a workplace where individuals feel empowered to thrive, both personally and professionally.

By thoughtfully matching people with roles that resonate with their purpose and aspirations, we foster a culture rooted in authenticity, innovation, and shared growth. When individuals bring their whole selves to work, remarkable things happen—for our teams, our patients and their families, and the communities we serve.

Our Mission

To provide compassionate, patient-centered hospice care that honors the dignity of every individual; people caring for people.

Culture & Values

Our people are the heartbeat of our mission. At Crossbridge Hospice, we recognize your unique talents, nurture your growth, and celebrate your compassion. Together, we’re building a community that leads with integrity and serves with heart.

• Clinician-led teams built on compassion and respect
• A supportive environment where every voice matters
• Commitment to dignity for patients, families, and staff
• Integrity and empathy at the core of all we do

Why You’ll Love Working with Us:

• Competitive compensation
• Health, Dental, Vision, Disability & Life Insurance
• 401(k) Retirement Plan
• Tuition Reimbursement
• Professional Licensing & Certification Renewal Reimbursement
• Paid Time Off + Paid Holidays + Floating Holidays
• Mileage Reimbursement
• Supportive Team Environment
• Mission-driven leadership that values your voice and expertise

How you will contribute:

The Room and Board Billing Specialist is responsible for the accurate and timely billing, invoicing, collections, and accounts receivable management of Hospice Room and Board services and related Medicaid reimbursement. This position plays a key role in supporting the revenue cycle by ensuring accurate claim submission, timely reimbursement, compliance with payer requirements, and effective management of facility accounts. The specialist collaborates closely with Billing, Intake, and Authorization teams to maintain operational excellence, support process improvement initiatives, and deliver exceptional service to internal and external partners.

How you will make an impact:

• Utilize Homecare Homebase (HCHB), Medicare DDE, Medicaid systems, payer portals, and clearinghouse software to support accurate and timely billing operations.
• Maintain proficiency with billing systems and reporting tools to ensure effective revenue cycle performance.
• Perform facility rate conversions and maintain accurate reimbursement rates, including monitoring nursing facility Medicaid rate changes.
• Audit monthly eligibility verification and confirm payer eligibility and coverage for Room and Board services.
• Maintain accurate facility census information and process invoices, account reconciliation, and Applied Income reporting within HCHB.
• Serve as a primary point of contact for facility partners, responding to inquiries related to billing, payments, reimbursement, and account activity, and distributing weekly remittance advices.
• Monitor and manage departmental communications, including email, phone inquiries, and Microsoft Teams, while maintaining an organized workload.
• Provide cross-functional support to Intake and Authorization teams to ensure continuity of operations.
• Participate in departmental meetings and contribute to process improvement and workflow optimization initiatives.
• Ensure compliance with Medicare, Medicaid, Managed Care, and commercial payer requirements while maintaining ethical billing practices.
• Maintain strict confidentiality of patient and financial information in accordance with HIPAA and organizational policies.
• Additional responsibilities as assigned

The Experience and Skills You’ll Bring

• High School Diploma or equivalent required; Associate degree in Healthcare Administration, Business, Accounting, or related field preferred.
• 1+ years of Room and Board billing, healthcare billing, accounts receivable, accounts payable, or related experience.
• 1+ year of Experience with Electronic Medical Records Systems.
• 1+ year of Hospice Billing Experience preferred.
• HCHB Preferred.
• Experience utilizing Medicare Direct Data Entry (DDE).
• Experience working with Medicaid billing systems, payer portals, and electronic claim submission processes.
• Knowledge of Medicare, Medicaid, and managed care billing requirements.

This is a full-time remote role.