PreBilling Specialist (Medical Admin Support) - HomeCare

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

Location Detail: 60 Hartland St E. Hartford (10630)

Shift Detail: Monday -Friday 8-4:30pm. No weekend /or Holidays

Work where every moment matters.

Every day, over 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network as a PreBilling Specialist.

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years. Our Person-Centered Care Model allows our colleagues to learn and grow within our organization, all while providing integrated support to the patient. As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home. Most importantly, our colleagues are appreciated for the real differences they make in both the lives of their clients and their clients’ families.

The Pre-Billing Specialist plays a critical role in ensuring accurate and timely revenue capture by reviewing clinical documentation and billing data prior to claim submission. Working within the Homecare Homebase (HCHB) system, this position validates documentation compliance, identifies billing readiness issues, and collaborates with clinical and administrative teams to prevent claim delays, denials, and reimbursement issues. The ideal candidate has healthcare experience, strong attention to detail, and a solid understanding of clinical documentation review and regulatory requirements.

Key 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.

Qualifications

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