Prebill Compliance Specialist — Home Health Billing

Pathways Healthcare, Llc; Westwood (MA); On-site; USD 25,000 - 34,000; Full time

Benefits offered by this job

PTO 3 weeks

Paid sick time

401(k) with employer match

Medical coverage

Job summary

Pathways Healthcare, a leading home health and hospice organization, is seeking a Billing Specialist to audit and prepare claims, ensuring accuracy and timeliness in a fast-paced setting.

Responsibilities include outbound calls to resolve documentation needs, reviewing face-to-face notes, and running prebill reports to prevent denials, while collaborating with clinical and administrative teams to support patient care.

Qualifications

• High school diploma or equivalent is required.
• Strong customer service and professional communication skills, including comfort with outbound phone calls.
• Computer and technology savvy, with the ability to learn new systems quickly.
• Ability to multitask, prioritize, and manage follow-ups in a fast-paced environment.
• Thrives in a dynamic, forward-thinking organization with ongoing process improvements and change.

Responsibilities

• Audit and prepare home health and hospice claims to ensure accurate, compliant, and timely billing.
• Requires a high comfort level with making outbound calls to drive timely resolution of documentation and billing needs.
• Review face-to-face documentation, unsigned orders, and visit notes; follow up to resolve missing or incomplete information.
• Run daily and weekly prebill reports to identify billing issues and help prevent claim denials.
• Work closely with Clinical, Marketing, and Administrative teams to remove financial barriers and support patient care.
• Meet individual and team productivity goals while maintaining confidentiality and Pathways’ TRUST values.

Skills

Customer service

Outbound calls

Professional communication

Computer literacy

Education

High school diploma or equivalent

Job description

Pathways Healthcare, a leading home health and hospice organization, is seeking a Billing Specialist to audit and prepare claims, ensuring accuracy and timeliness in a fast-paced setting.

Responsibilities include outbound calls to resolve documentation needs, reviewing face-to-face notes, and running prebill reports to prevent denials, while collaborating with clinical and administrative teams to support patient care.