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

Work Environment

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

Pay & Benefits

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.

Ready to Apply?

If you’re a Revenue Cycle Accountant / Billing Specialist who wants purpose, stability, and growth, this role is for you. Join Northern Illinois Hospice and let your accounting career support extraordinary hospice care powered by strong, compliant reimbursement practices.