Pre-Billing Lead: Audit & Compliance Champion

Hartford HealthCare; Mansfield Center (CT); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive benefits

Job summary

Hartford HealthCare at Home in Mansfield, CT seeks a Pre-Billing Lead to oversee the pre-billing audit process, serve as expert for the team, and train auditors to ensure every claim is right before submission. You will validate documentation, align visits with billing, and stay current on payer guidelines while driving workflow improvements and compliance across the revenue cycle team.

Hartford HealthCare offers competitive benefits and opportunities for growth within Connecticut's largest home

Qualifications

• 2+ years in home health billing, auditing, or clinical documentation review.
• Advanced knowledge of home health billing regulations and payer requirements.
• Excellent attention to detail and strong organizational skills.
• Strong written and verbal communication skills.
• Autonomy with flexibility and cooperation.
• Appropriate certification may be required.

Responsibilities

• Oversee the pre-billing audit process to ensure timely, accurate reviews before claims submission.
• Lead expert for problem solving, workflow coordination, QA, and compliance with regulations.
• Train and support pre-billing staff during onboarding and ongoing development.
• Review patient charts in HCHB to confirm documentation and billing alignment.
• Ensure disciplines have signed notes and visits are properly scheduled and documented.
• Identify and resolve discrepancies delaying billing; collaborate with clinical staff for corrections.
• Stay current on Medicare, Medicaid, and payer guidelines; train staff on best practices.
• Monitor workflow performance and drive process improvements and standardization.
• Strengthen communication between pre-billing staff and leadership.

Skills

Attention to detail

Written communication

Verbal communication

Autonomy

Organizational skills

Education

High school diploma

Bachelor's degree

Job description

Hartford HealthCare at Home in Mansfield, CT seeks a Pre-Billing Lead to oversee the pre-billing audit process, serve as expert for the team, and train auditors to ensure every claim is right before submission. You will validate documentation, align visits with billing, and stay current on payer guidelines while driving workflow improvements and compliance across the revenue cycle team.

Hartford HealthCare offers competitive benefits and opportunities for growth within Connecticut's largest home