Onsite Hospice Billing & Revenue Cycle Specialist

Northern Illinois Hospice; Rockford (IL); On-site; USD 47,000 - 68,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

PTO

Company-paid life insurance

Disability insurance

401(k) with match

Job summary

Northern Illinois Hospice is seeking a Revenue Cycle Accountant / Billing Specialist to ensure accurate, compliant room & board billing for hospice and palliative care services. This 100% onsite role runs Monday through Friday, 8:15am–4:45pm in Rockford, IL.

You will manage the revenue cycle, submit and resolve claims with Medicare, Medicaid, and payers, monitor aging, and maintain audit-ready documentation while upholding HIPAA and hospice regulations.

Qualifications

• 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).

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.

Skills

Room & Board billing

Medicare billing

Medicaid billing

Insurance billing

ICD-10

CPT

HCPCS

Education

Bachelor's degree in Accounting

Job description

Northern Illinois Hospice is seeking a Revenue Cycle Accountant / Billing Specialist to ensure accurate, compliant room & board billing for hospice and palliative care services. This 100% onsite role runs Monday through Friday, 8:15am–4:45pm in Rockford, IL.

You will manage the revenue cycle, submit and resolve claims with Medicare, Medicaid, and payers, monitor aging, and maintain audit-ready documentation while upholding HIPAA and hospice regulations.