Revenue Cycle Accountant / Billing Specialist

About the role

At Northern Illinois Hospice, our work is rooted in compassion, dignity, and excellence. We are seeking a highly skilled Revenue Cycle Accountant / Billing Specialist to play a key role in supporting our hospice and palliative care services. This is an opportunity for someone who thrives in a detail-driven environment and takes pride in ensuring accurate, compliant billing, especially in Room & Board reimbursement. This is a fully onsite position - remote or hybrid work is not available.

Responsibilities

• Overseeing hospice and palliative care billing, including accounts receivable, collections, and cash posting
• Preparing, submitting, and resolving claims with Medicare, Medicaid, and commercial payers
• Investigating denials, managing appeals, and resolving underpayments
• Monitoring AR aging, unbilled claims, and accounts over 90 days
• Producing monthly revenue and AR reports to support organizational insight
• Ensuring compliance with Medicare, hospice regulations, and HIPAA requirements
• Reconciling EMR and accounting systems while maintaining audit-ready documentation
• Responding to patient and family billing questions with professionalism and compassion

Requirements

• Minimum 2 years of direct Room & Board billing experience in a healthcare setting (required)
• Strong working knowledge of Medicare, Medicaid, and insurance billing, ideally within assisted living or skilled nursing environments
• Proficiency with ICD-10, CPT, and HCPCS coding
• Bachelor's degree in Accounting (preferred)

Schedule

Monday - Friday, 8:15am - 4:45pm

Pay

The salary range is $47,000 - $67,988, based on experience and education.

Benefits

Benefits include medical, dental, vision, PTO, company-paid life and disability insurance, and a 401(k) with match.