Contract Billing Supervisor - External Billing

Rush Hospital$72K — $118K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting or related field.
  • 3-5 years of contract management experience in an academic or hospital environment with $4B in annual revenues.
  • Proficiency in Lawson and Workday Customer Accounts.
  • Strong attention to detail and numerical accuracy.
  • Effective communication, organizational, and problem-solving skills.

Responsibilities

  • Review and interpret contracts to ensure accurate billing according to terms.
  • Coordinate negotiations with the RUSH Legal department and stakeholders.
  • Maintain thorough documentation of contracts and reimbursement schedules.
  • Monitor contract performance and escalate discrepancies as needed.
  • Oversee invoicing management and accounts receivable activities.

Benefits

  • Full-time hours with a hybrid work model.
  • Professional development opportunities at Rush University Medical Center.
  • Opportunity to impact financial integrity and compliance across multiple departments.
  • Collaboration with a diverse set of internal and external stakeholders.
Full Job Description
Location: 1620 W Harrison St, Chicago, Illinois 60612

Hospital: Rush University Medical Center

Department: External Billing

Work Type: Full-Time - 40 Hours per week (1.0 FTE)

Hybrid: Minimum of 1 day per week onsite

Work Schedule: 8-Hour Shifts - Monday to Friday

Pay Range: $72,571 - $118,102 per year

Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
The Corporate Finance Contract Billing Specialist Supervisor is responsible for managing the financial and billing aspects of internal and external physician contracts, lease billing arrangements, and other contractual obligations requiring appropriate billing and collection. This position reports to the RUSH System Director of Accounting Operations. This includes ensuring accurate billing, compliance with contract terms, and timely reimbursement for services provided by affiliated or contracted physicians, lessor/lessee arrangements, and other contractual obligations. They serve as a key liaison between finance, legal, facilities, revenue cycle, internal and external physician groups, academic offices, and joint venture partners. The role supports financial integrity, contract oversight, and collaboration across departments and external entities, ensuring contract compliance. This is a RUSH system-level role which encompasses RUMC (RUH, University, and Ambulatory Pharmacy), ROPH, RCMC, Rush Health, RMG, and joint ventures.

Other information:
Education:
• Bachelor's degree in Accounting or related field.

Experience:
• 3-5 years of experience in contract management, preferably in an academic or hospital setting with $4B in annual revenues.
• Proficiency in Lawson and Workday Customer Accounts

Skills:
• Proficiency in billing and contract management software.
• Strong attention to detail and numerical accuracy.
• Effective communication, organizational skills, and problem-solving skills.
• Ability to manage multiple priorities, work independently, and meet deadlines.

Preferred Job Qualifications:

.see above

Physical Demands:
• Ability to sit or stand for extended periods
• Manual dexterity for keyboard use; computer intensive tasks (data entry, analysis, reporting)
• Visual acuity for screen work
• Ability to travel or work in various environments

Competencies:

Disclaimer:
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
Contract Interpretation & Compliance
• Review and interpret internal and external physician contracts, lessor/lessee arrangements, and other identified contractual obligations to ensure billing aligns with agreed-upon terms.
• Negotiating contract terms: Coordinate with the RUSH Legal department on contract negotiations and other key stakeholders.
• Maintain documentation of contract rates, scope of services, and reimbursement schedules.
• Monitor contract performance and escalate discrepancies or compliance issues.
• Implement robust processes and procedures to track contract expirations (120-day contract review process), for visibility and appropriate stakeholder engagement, ensuring Corporate Finance reviews and approves all internal and external physician billing arrangements, all lease arrangements, and all other identified contractual billing arrangements. This would require detailed documentation of all contracts, terms, and expirations.
• Skilled in analytical thinking, attention to detail, and proficiency in contract management software are essential.

Billing, Revenue Reconciliation & Reporting
• Invoice Management: Oversee the preparation and issuance, and track invoices for services or products.
• Accounts Receivable: Monitor outstanding balances and follow up on overdue payments.
• Customer Account Maintenance: Update billing records and ensure account accuracy.
• Discrepancy Resolution: Investigate and resolve billing errors or disputes.
• Reporting: Generate billing and financial reports for internal use.
• Compliance: Ensure billing practices align with company policies and regulatory standards.
• Review and approve monthly account reconciliations against expected reimbursements based on contract terms.
• Track and report on contract utilization, billing trends, and financial performance.
• Customer Interaction: Respond to billing inquiries professionally and promptly.
• Support audits and compliance reviews.
• Strong understanding of ASC 606 (Revenue Recognition) and ASC 842 (Lease Accounting)

Stakeholder Collaboration
• Serve as liaison between Rush Legal, external physician groups, internal departments, and other key stakeholders.
• Work with legal and compliance teams to ensure contracts meet GAAP requirements and appropriate financial controls.

System & Data Management
• Generate dashboards and reports for leadership review and awareness.
• Advise and implement a contract management tool that is fit for the size of Rush and has scalability.
• Maintain all cost centers and approval structures associated with the billing arrangements.

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