Pre-Billing Specialist: HomeCare Billing & Compliance

Hartford HealthCare; East Hartford (CT); On-site; USD 45,000 - 65,000; Full time

Job summary

The Hartford HealthCare network is seeking a Pre-Billing Specialist in East Hartford, CT. You will review clinical notes in Homecare Homebase (HCHB) to verify documentation, validate visit frequencies and orders, and ensure clean billing prior to submission.

The ideal candidate has at least 1 year of healthcare administration experience, familiarity with Medicare/Medicaid rules, and strong attention to detail to reduce denials and delays while collaborating with clinicians and operations teams.

Qualifications

• High school diploma required.
• Bachelor's degree preferred.
• 1 year of healthcare administrative experience required.
• Experience in home health, hospice, billing, auditing, or clinical documentation review preferred.
• Two or more years of experience in home health billing, auditing, or clinical documentation review preferred.

Responsibilities

• Review patient records in Homecare Homebase (HCHB) to ensure all required documentation is complete, accurate, and compliant prior to billing.
• Validate visit frequencies, physician orders, and care plans to ensure billing requirements are met.
• Confirm all clinical disciplines have completed, signed, and locked visit notes, and that visits are properly scheduled and documented.
• Identify and resolve documentation discrepancies, missing information, or compliance issues that may delay claim submission.
• Collaborate with clinical and operational staff to obtain corrections or additional documentation when needed.
• Monitor and maintain knowledge of Medicare, Medicaid, and commercial payer regulations and billing requirements.
• Support documentation and billing compliance efforts through education and guidance to staff.
• Assist in reducing billing errors, claim denials, and reimbursement delays through proactive chart review and auditing.
• Maintain accurate records and ensure adherence to organizational policies and regulatory standards.
• Perform other duties as assigned.

Skills

Attention to detail

Regulatory compliance

Communication

Education

High school diploma

Bachelor's degree preferred

Tools

Homecare Homebase (HCHB)

Job description

The Hartford HealthCare network is seeking a Pre-Billing Specialist in East Hartford, CT. You will review clinical notes in Homecare Homebase (HCHB) to verify documentation, validate visit frequencies and orders, and ensure clean billing prior to submission.

The ideal candidate has at least 1 year of healthcare administration experience, familiarity with Medicare/Medicaid rules, and strong attention to detail to reduce denials and delays while collaborating with clinicians and operations teams.