Pre Billing Lead / Mansfield Certified Admin

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

Location Detail: 34 Ledgebrook Dr Mansfield (10179)

Join Hartford HealthCare at Home as a Pre-Billing Lead and play a key role in keeping our revenue cycle accurate, compliant, and on time. You will oversee the pre-billing audit process, serve as the go-to expert for your team, and help train and support the auditors who make sure every claim is right before it goes out the door.

Hartford HealthCare at Home is Connecticut’s largest provider of home care services and has served patients and families for more than 115 years. Our person-centered care model, collaborative teams, and innovative technology give our colleagues the support and resources they need to do excellent work while continuing to learn and grow.

What You’ll Do

• Oversee the pre-billing audit process to ensure clinical documentation and billing data are reviewed accurately and on time before claims are submitted.
• Serve as the lead subject matter expert for problem solving, workflow coordination, quality assurance, and compliance with regulations, guidelines, and policies.
• Train, mentor, and support pre-billing staff during onboarding and ongoing development, and promote audit quality and consistency across the team.
• Review patient charts in HCHB to confirm all required documentation is complete and compliant before billing, including validating visit frequencies, orders, and care plans against billing requirements.
• Confirm that all disciplines have signed and locked notes and that visits are properly scheduled and documented.
• Identify and resolve discrepancies or missing documentation that could delay billing, partnering with clinical staff to obtain corrections or additional information.
• Stay current on Medicare, Medicaid, and commercial payer guidelines and regulatory changes, and help train staff on documentation and billing compliance best practices.
• Monitor workflow performance, identify process improvement opportunities, and support denial prevention, quality improvement, and process standardization efforts.
• Strengthen communication between pre-billing staff and leadership.

Qualifications

• High school diploma.
• At least 2 years of experience in home health billing, auditing, or clinical documentation review.
• Advanced knowledge of home health billing regulations, payer requirements, and auditing techniques.
• Excellent attention to detail and strong organizational skills.
• Strong written and verbal communication skills.
• The ability to work with autonomy, assertiveness, flexibility, and cooperation.
• Appropriate certification may be required.

Preferred Qualifications

• Bachelor’s degree.
• 3 or more years of experience in home health billing, auditing, or clinical documentation review.

We Take Great Care of Careers

Hartford HealthCare offers opportunities for career development and growth across Connecticut. As a Pre-Billing Lead, you will step into a defined career advancement pathway for experienced auditors while working with colleagues who value the difference you make.

• We offer a competitive benefits program designed to support your well-being and work-life balance.

Every moment matters—and this is your moment to make a meaningful impact behind the scenes of home-based care.