Prebill Compliance Specialist

Pathways Healthcare

Prebill Compliance Specialist at Pathways Healthcare ensuring timely and accurate billing for home health and hospice claims. Collaborating with teams to support patient care and drive billing resolution.

Posted 7/23/2026full-timeWestwood • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $18 - $25 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in auditing and preparing home health and hospice claims, ensuring compliance and accuracy in billing processes. Strong ability to communicate effectively with various teams and manage documentation in a fast-paced environment.

Highest-signal resume keywords

Home Health Claims AuditingHospice Claims PreparationCustomer Service SkillsProfessional Communication SkillsMultitasking and Prioritization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AuditingBilling ComplianceDocumentation ReviewPrebill ReportingData Entry

Soft Skills

Customer ServiceCommunicationMultitaskingProblem SolvingAdaptability

Tools & Technologies

Billing SoftwareComputer ProficiencyTechnology Savvy

Industry Keywords

Home HealthHospicePatient CareConfidentialityTRUST Values

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

High school diploma or equivalent 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

Benefits

Comp & perks

Medical Coverage: Choice of HMO and PPO medical plans to meet the needs of you and your family
Dental & Vision: Comprehensive dental and vision coverage
Life Insurance: Employer-provided life insurance for added peace of mind
Paid Time Off: 3 weeks of PTO annually, accrued throughout the year 4 weeks of PTO annually accrued throughout the year, after two years of service
Sick Time: 1 week (40 hours) of paid sick time per year
Short-Term Disability: 100% company-paid short-term disability coverage
Flexible Spending Accounts (FSA): Pre-tax accounts available for healthcare and dependent care expenses
401(k) Retirement Plan with employer match
Employee Assistance & Benefits Support through Bennie
Voluntary Benefits including supplemental life, accident, and disability insurance
8 Paid Holidays observed annually
Professional Development & Training Opportunities