Revenue Cycle Accountant​/Billing Specialist

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.

To be successful in this role, candidates must have hands-on experience with healthcare Room & Board billing:

• 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)

Please note: Candidates without direct Room & Board billing experience will not be considered.

In this high-impact role, you will independently manage key aspects of the revenue cycle, including:

• 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
• 100% onsite position (not eligible for remote or hybrid work)
• Monday - Friday, 8:15am - 4:45pm

The Revenue Cycle Accountant / Billing Specialist salary range is $47,000 - $67,988, based on experience and education, plus a generous benefits package including medical, dental, vision, PTO, company-paid life and disability insurance, and a 401(k) with match.