Pre Billing Lead / Mansfield Certified Admin

Hartford HealthCare at Home • Mansfield Center, CT

7d • Onsite

About The Position

Hartford HealthCare at Home is seeking a Pre-Billing Lead to oversee its pre-billing audit process and help ensure revenue-cycle accuracy, compliance, and timely claim submission. The role serves as a subject matter expert for problem solving, workflow coordination, quality assurance, and compliance with applicable regulations, guidelines, and policies.

The Pre-Billing Lead reviews patient charts in HCHB to confirm required documentation is complete and compliant before billing, including validating visit frequencies, orders, and care plans. The role also supports pre-billing staff through onboarding, training, mentoring, and ongoing development, while coordinating with clinical staff to resolve discrepancies and missing documentation.

The position monitors workflow performance, supports denial prevention and process improvement, and helps maintain communication between pre-billing staff and leadership. Hartford HealthCare at Home describes itself as Connecticut’s largest provider of home care services, with more than 115 years of service. The organization offers a career advancement pathway for experienced auditors and a competitive benefits program designed to support well-being and work-life balance.

Requirements

• High school diploma.
• At least 2 years of experience in home health billing, auditing, or clinical documentation review.
• Advanced knowledge of home health billing regulations, payer requirements, and auditing techniques.
• Excellent attention to detail and strong organizational skills.
• Strong written and verbal communication skills.
• Ability to work with autonomy, assertiveness, flexibility, and cooperation.
• Appropriate certification may be required.

Nice To Haves

• Bachelor’s degree.
• 3 or more years of experience in home health billing, auditing, or clinical documentation review.

Responsibilities

• Oversee pre-billing audits to ensure clinical documentation and billing data are accurately and promptly reviewed before claims are submitted.
• Serve as the lead subject matter expert for problem solving, workflow coordination, quality assurance, and compliance.
• Train, mentor, and support pre-billing staff during onboarding and ongoing development, promoting audit quality and consistency.
• Review patient charts in HCHB to verify required documentation is complete and compliant before billing, including visit frequencies, orders, and care plans.
• Confirm that all disciplines have signed and locked notes and that visits are properly scheduled and documented.
• Identify and resolve discrepancies or missing documentation that could delay billing, partnering with clinical staff to obtain corrections or additional information.
• Stay current on Medicare, Medicaid, and commercial payer guidelines and regulatory changes, and help train staff on documentation and billing compliance practices.
• Monitor workflow performance and identify process improvement opportunities.
• Support denial prevention, quality improvement, and process standardization efforts.
• Strengthen communication between pre-billing staff and leadership.

Benefits

• Competitive benefits program designed to support well-being and work-life balance.
• Career development and growth opportunities across Connecticut.
• Defined career advancement pathway for experienced auditors.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED