Pathways Healthcare

Compliance

• 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

Prebill Compliance Specialist